Senior Clinical Education Consultant - Remote

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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Optum, part of UnitedHealth Group (NYSE: UNH), is a leading information, technology-enabled health services, and software business dedicated to helping make the health system work better for everyone. We work with governments, employers, partners, and providers to care for over 146 million people and share a vision of a value-based system of care that provides compassionate and equitable care. With more than 190,000 people worldwide, Optum delivers intelligent, integrated solutions that help to modernize the health system and improve overall population health.

At Optum Insight (OI), we champion continuous innovation to provide software, network, and data analytics, technology-enabled services, advisory, and revenue cycle management offerings to help make health care work better for everyone.

UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience, and delivering access to high quality care. Our mission calls us, our values guide us, and our diverse culture connects us to improve consumer care. We are privileged to serve their communities.

Under the Director of InterQual Clinical Services' direction, the Senior Clinical Education Consultant will provide Clinical Education and Consulting to customers, as assigned, for InterQual Related Products, Programs and Platforms.

The Senior Clinical Education Consultant interacts with appropriate internal and external contacts to ensure program coordination and knowledge of customer business and InterQual education needs.

The Senior Clinical Education Consultant will provide education on services that will include IQCI, IQCER and RM Implementations clients, including InterQual Customize and Coordinated Care as contracted.

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

• Customer Education and Consulting Services
• Prepares for and delivers education over multiple InterQual products, programs, services, and applications and helps integrate customer workflows or business processes with product functionality
• Delivery of client education on all InterQual products, programs, and professional education courses. Programs will Include: InterQual Certified Instructor, InterQual Certified Expert Resource
• Delivery of programs as an extension of the customer experience team include InterQual Customize and Coordinated Care
• Works closely with the Client Learning and Development team to update curriculum for specialized services noted above annually or more frequently if needed
• Provides customized customer mentoring services to enhance the educational experience
• Collaborates with Services, Product and Project Management and Technical teams to provide feedback for improved customer experience, software, implementations, etc.
• Consults with clients on InterQual education best practices, may require accessing customer system
• Leverages cross-functional teams to identify issues and develop InterQual solutions that meet operational and customer objectives
• Solve complex education issues as a subject matter expert
• Documents for each education session conducted within identified period, ensuring notes are complete and concise. This ensures the organization can review services that were provided within the education department
• Exercises independent judgment in developing methods, techniques, and evaluation criteria for obtaining results
• Development and Maintenance of InterQual Programs and Services
• Assists in defining new service offerings working closely with the Director of InterQual Clinical Services Assists in the development of innovative programs and education delivery methods for all software programs that deliver InterQual
• Exercises independent judgment in developing methods, techniques, and evaluation criteria for result-oriented outcomes
• Provides recommendations for new InterQual education materials that contain complex subject matter in conjunction with product management, software engineering, or technical writers
• Assists in developing and maintaining InterQual education materials as assigned (case studies, competency exams/quizzes, and/or exercises) to augment education sessions including education materials, and internal and external InterQual Toolkit
• Coordinate updates to Client Learning and Development as needed to ensure education materials are up to date with content releases
• Review of assigned InterQual IRR and IQCI tests with direction from Clinical Quality Specialist, on an ongoing basis to ensure accuracy with updates from Clinical Development
• Working with designated team members to develop and present materials for 'Increase Your IQ' webinars as assigned
• Maintains internal working relationships to understand the evolution of features/functionality for new releases or enhancements
• Maintaining and updating InterQual Programs and Services
• Working closely with the Client Learning and Development team to develop new education materials including new case studies
• Assists and coordinates material updates to ensure accurate material use for internal and external education sessions, including IQCI, IQCER, Customization and Coordinated care
• Attends and participates in departmental and organizational meetings
• Attending virtual and onsite departmental meetings and organizational meetings as applicable
• 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

• Registered Professional Nurse: BSN desirable or bachelor's degree in health care management field
• 6+ years of experience in utilization, review/management, case management, and care management
• 4+ years of experience in adult education/training including presenting materials to varied groups of participants
• Experience in healthcare hospitals and payer-based software
• Proven ability to effectively communicate with clinical, technical, and business staff
• Proven consultative thought process and approach to customer issues
• Proven ability to work well within a fast-paced, team-oriented environment
• Willingness and ability to travel as required
• Ability to work independently within the role, taking on the responsibility of providing education daily
• Demonstrates a strong clinical background and Critical thinking skills

Preferred Qualifications

Experience with InterQual Criteria

• Advanced experience with applicable tools (e.g., MS Office suite, LiveMeeting/Zoom/Webex, etc.)
• In-depth knowledge of technical training
• Advanced knowledge of product and technical details
• Knowledge of industry or industry background required (e.g., clinical)
• Proven Presentation and Training skills

Working Conditions

General Office environment, Remote working capabilities accepted

Potential for travel approximately 10% of the time

Physical Requirements, ability to stand for extended periods of time for onsite education sessions

*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 $91,700 - $163,700 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.