Clinical Program Consultant - Value Creation - Remote

UnitedHealth Group•Minnetonka, MN

4d•Remote

About The Position

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Clinical Program Consultant serves as a strategic leader and trusted partner responsible for the oversight, performance monitoring, and continuous improvement of vendor‑delivered case management programs across all lines of business. This role provides enterprise‑level leadership by ensuring programs deliver measurable clinical, financial, and operational value while aligning with organizational priorities and member outcomes. This position leads governance, drives complex program enhancements and redesigns, and translates clinical program performance insights into clear, actionable recommendations for senior leadership and cross‑functional stakeholders. The Consultant also manages high‑priority, complex initiatives end-to-end, partnering closely with vendors and internal teams to ensure effective execution and sustained impact. The ideal candidate brings deep managed care experience, solid project leadership capabilities, and the ability to synthesize complex clinical and operational information into concise, executive‑level communications that support enterprise goals. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

5+ years of experience in Commercial, Medicare, and/or Medicaid managed care
5+ years of experience leading complex projects or programs
Demonstrated experience presenting to and influencing executive leadership
Proven excellent verbal and written communication skills, with the ability to synthesize and convey complex information clearly and concisely

Nice To Haves

Experience working within the clinical aspects of managed care
Demonstrated ability to work independently, problem‑solve proactively, and navigate ambiguity in complex environments
Located in EST or CST timezones

Responsibilities

Monitor, analyze, and evaluate vendor‑delivered clinical and case management program performance across all lines of business, identifying risks, gaps, and opportunities for enhancement
Serve as a primary liaison between lines of business and vendor partners to ensure robust measurement plans are established, executed, and delivered
Partner with vendors and line‑of‑business leaders to develop meaningful, data‑driven content for Joint Operating Committees (JOCs) and Clinical Program Reviews (CPRs)
Lead and manage the creation of line‑of‑business‑specific Intersegment Requirement (ISR) documents for care management programs
Develop and deliver concise, actionable program updates and recommendations to executive leadership and cross‑functional stakeholders
Lead governance forums to support decision‑making, issue escalation, prioritization, and alignment across clinical, operational, and product teams
Manage end‑to‑end implementation of program enhancements and redesigns on behalf of the lines of business, in close partnership with vendor programs
Lead high‑priority, complex initiatives from concept through implementation and post‑deployment monitoring
Establish and manage comprehensive project plans, including milestones, timelines, risks, dependencies, governance structures, and decision documentation
Proactively identify and resolve gaps or issues, maintaining real‑time documentation and clear escalation pathways
Partner with operational and functional leaders to drive execution and translate program and project progress into clear, ongoing status communications for stakeholders