Clinical Case Manager Jobs in Minnesota

INTRODUCTION

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

The Clinical Manager, Advisory Services - Remote will leverage clinical expertise paired with project management and business acumen to both lead day-to-day transformational engagements with healthcare provider engagements and provide specific subject matter expertise, where needed, to partnerships focused on access to care and medical group optimization. The Clinical Manager will support moderate-complexity engagements and will be responsible for determining the overall approach and structure of the engagement as well as creating key deliverables. The Clinical Manager will support projects primarily focused on access to care and medical group optimization but may also be asked to support traditional, strategic, and/or clinical revenue cycle projects based on business need.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

PRIMARY RESPONSIBILITIES:

Clinical Consulting & Leadership:

• Serve as the lead clinical consultant for key medical group and access engagements, focusing on clinical workflow redesign, care team model optimization, and access to care
• Apply advanced clinical knowledge to support strategic and implementation projects, ensuring solutions are evidence-based and aligned with best practices

Professional & Domain Knowledge:

• Demonstrate expertise in clinical operations, healthcare consulting, and regulatory requirements
• Architect business cases and review financial models for correctness and relevance
• Exhibit business acumen, understanding project profitability and financial management

Project Management & Delivery:

• Independently manage multiple clinical consulting projects or workstreams, ensuring successful delivery within scope, budget, and timeline
• Develop and maintain project workplans, assign resources, and collaborate with clients to resolve challenges and deliver measurable results

Clinical Analysis & Recommendations:

• Diagnose root causes of clinical and operational issues, structure problem-solving frameworks, and proactively identify risks
• Conduct thorough research and data gathering, including cost/benefit analysis, benchmarking, and gap analysis
• Deliver accurate, insightful analysis and actionable recommendations, shaping client strategies using clinical and industry expertise

Stakeholder Engagement & Relationship Management:

• Lead client presentations and executive sessions with solid executive presence and professionalism
• Foster trusted relationships with provider clients and internal stakeholders, driving high levels of satisfaction and credibility
• Cultivate Optum's reputation as a strategic advisor by demonstrating deep understanding of client and operational needs

Change Management & Implementation:

• Apply change management principles to support adoption of engagement recommendations
• Navigate complex interpersonal dynamics and drive collaboration across diverse teams to achieve project goals

Team Leadership & Development:

• Delegate project tasks effectively and coach junior staff to support professional growth and skill development
• Serve as people manager for analysts or consultants, providing mentorship and performance guidance
• Create inclusive, high-performing teams and engage in regular development conversations

Practice Development & Thought Leadership:

• Contribute to business development and thought leadership initiatives beyond client engagements
• Share clinical and domain expertise to build organizational capabilities and stay current on healthcare industry trends and regulatory developments

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

REQUIRED QUALIFICATIONS:

• Active U.S. licensure for advanced clinical roles including Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), Registered Nurse (RN), Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) with proven business acumen and experience in a physician practice setting leadership role (i.e. practice manager, clinical manager)
• 5+ years of direct oversight or consultative experience in the following content areas: Medical group leadership, clinical workflow redesign, care team model optimization, provider capacity and schedule/template optimization, provider productivity optimization, provider compensation, contact center clinical functions (i.e. nurse triage, in basket management, prescription refill)
• Experience developing medical group strategies, financial planning and operational oversight
• Advanced Microsoft Office expertise, specifically Excel and PowerPoint
• Ability to travel 80% when required

PREFERRED QUALIFICATIONS:

• Professional consulting experience, preferably in medical group and/or access to care optimization focused capacity
• Experience in clinical or operational transformation solution design and/or assessment and implementation resulting in significant recurring financial benefit
• Experience in care delivery or management of Cardiology, Orthopedics or Primary Care service lines
• Experience supporting business development and/or client growth opportunities

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.