Sr. CARE Consultant – Remote in US but preferred in NY

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

 

The Senior CARE Consultant (Sr. CMC) serves as a strategic leader and subject matter expert in UMR’s medical management and wellness initiatives. This role supports one of UMR’s largest and most complex clients, acting as the primary liaison for care management services, client engagement strategies, and cost containment initiatives. The Sr. CMC is responsible for the successful implementation, execution, and ongoing optimization of care management programs, ensuring alignment with client goals and UMR’s value proposition.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

 

Primary Responsibilities:

• Client Relationship Management:
  • Serve as the primary point of contact for care management services for a large, high-profile client
  • Build and maintain strong, trust-based relationships with client stakeholders, internal teams, and external vendors
  • Lead strategic discussions and present performance updates, clinical insights, and engagement strategies
• Strategic Program Oversight:
  • Develop and execute a customized care management roadmap for the client, including strategic planning, implementation, and performance tracking
  • Provide clinical and non-clinical consultation on UMR programs and services
  • Lead the development of communication strategies, incentive designs, and engagement initiatives
• Operational Excellence:
  • Manage multiple concurrent projects and tasks, ensuring timely and high-quality delivery
  • Oversee utilization management systems and ensure compliance with regulatory and accreditation standards (e.g., HEDIS, CAHPS)
  • Evaluate and implement policy and process changes in response to regulatory updates or client needs
• Data & Reporting:
  • Analyze and present care management data, trends, and outcomes to internal and external stakeholders
  • Evaluate reporting tools and visualizations to ensure effective communication of insights
  • Support audit activities and develop corrective action plans as needed
• Sales & Growth Support:
  • Participate in sales and renewal meetings to articulate UMR’s care management value proposition
  • Identify opportunities for program enhancements and business development

 

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 state insurance license and/or willingness to obtain upon hire
• 10+ years of experience in healthcare, managed care, or wellness program administration
• Proven experience working with large, complex employer groups
• Driver’s License and access to a reliable transportation
• 25% travel 

 

Preferred Qualifications:

• Clinical experience

 

Skills & Competencies:

• Deep knowledge of managed care, wellness programs, and group health delivery systems
• Exceptional verbal, written, and presentation communication skills
• Strong analytical and strategic thinking abilities
• Ability to manage multiple priorities independently in a fast-paced environment
• Proficiency in navigating clinical systems and reporting tools

 

Core Values Alignment:

• Integrity: Model ethical behavior and ensure compliance with all laws and policies
• Compassion: Deliver value to customers through meaningful engagement and retention strategies
• Relationships: Foster collaboration, diversity, and continuous development across teams

 

*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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 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.