Jobs in the United States

25+ jobs

Save this search

Added 5 mins ago
E
Senior Cell Assay Support Specialist
Eurofins
Fremont, CA
- $90,000 to $130,000 USD / year
Assists the Technical Support Manager with quarterly reporting of the team’s activities the Eurofins DiscoverX Products management and to the Product Management, Market Development, QA,…
Added 8 mins ago
A
Electronics Engineer - Telecom
Actalent
Vancouver, WA
- $61 to $66 USD / hour
Participate and support the integration of new equipment and procedures into the CC environment; and assist with O&M standards development.
Added 9 mins ago
T
Solution Architect_ GRC
TEKsystems
Hanover, MD
- $125,000 to $190,000 USD / year
…talent management strengths to extend the business value of our client partnerships and deliver measurable business and IT outcomes. TEKsystems Global Services is a fast-paced, growing…
Added 12 mins ago
Senior Business Development Manager, Commercial
ABM US
Tempe, AZ · Phoenix, AZ
The Senior Business Development Manager is responsible for identifying and cultivating new commercial and industrial accounts within a designated territory, focusing on ABM’s Onsite…
Added 15 mins ago
CH
Case Manager - Transitional Living Program
Covenant House Missouri
St. Louis, MO
- $19.98 to $24.19 USD / hour
The Case Manager is responsible for providing goal-oriented support and individualized direct care and supervision of program youth. This position is focused on achieving individualized…
Added 18 mins ago
Senior VA Health Systems Integration & Interoperability Specialist
LMI
United States
…Referral and Authorization (CCRA), and HealthShare Referral Manager (HSRM). The role will trace data and workflow across direct and community care, identify authoritative sources, and…
Added 25 mins ago
Territory Manager of Healthcare Partnerships - Washington/Oregon
Mom's Meals
Remote, United States
The Manager of Healthcare Partnerships will maintain Managed Medicaid channel growth through continued development of relationships at Managed Medicaid, AAA, CBO, PACE and state case…
Added 25 mins ago
Risk Manager
Turner & Townsend
Austin, TX
Initiate a proactive approach to the review, development and improvement of risk management services for the client.
Added 27 mins ago
Solution Advisor
Bechtel
Reston, VA
Mentor Solutions Specialist colleagues within the pillar and contribute to the technical development of the bench.
Added 28 mins ago
Travel Project Manager - Mission Critical
LAYTON CONSTRUCTION COMPANY, LLC
EAGLE MOUNTAIN, UT
Added 36 mins ago
FC
Case Manager, SO (Bridge)
Franklin County Department of Human Resources
Columbus, OH
- $24.34 USD / hour
Assess client and/or caller needs and level of functioning to determine appropriateness of various services based on established protocols. Monitor client services via (e.g., hospital…
Added 40 mins ago
IG
Travel Product Manager
Insight Global
Seattle, WA
- $64,000 to $80,000 USD / year
Insight Global is seeking a Product Manager, Voyage for a top expedition travel and small-ship cruise client. This candidate will own the development and execution of exceptional voyage…
Added 42 mins ago
Senior Business Development Manager, Commercial
ABM US
Tempe, AZ · Houston, TX
This Senior Business Development Manager works to develop new and potential commercial and industrial accounts within a defined territory for Onsite Facility Services: Cleaning,…
Added 42 mins ago
Senior Business Development Manager, Commercial
ABM US
Atlanta, GA
This Senior Business Development Manager works to develop new and potential commercial and industrial accounts within a defined territory for Onsite Facility Services: Cleaning,…
Added 42 mins ago
Senior Business Development Manager, Commercial
ABM US
Atlanta, GA · Nashville, TN
This Senior Business Development Manager works to develop new and potential commercial and industrial accounts within a defined territory for Onsite Facility Services: Cleaning,…
Added 1 hour ago
Account Management Representative I
Covista
Columbia, MD
…impact of their work on healthcare education and workforce development. Colleagues who deliver results and embrace new tools to work smarter are valued for their contributions. But what…
Added 1 hour ago
Junior Account Manager
Cundy Insurance
Fort Lauderdale, FL
Cundy, Inc. is seeking a Junior Account Manager to support the service and retention of employee benefits clients. This position will assist with day-to-day account management, client…
Added 1 hour ago
Case Manager Lead
Morgan & Morgan, P.A.
Detroit, MI
…corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the…
Added 1 hour ago
Case Manager Lead
Morgan & Morgan, P.A.
Birmingham, AL
…corporations or defective goods. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the…
Added 1 hour ago
Project Manager Assistant & Admin (ADMIN 1) 04257 NWD
North Wind Group
MORGANTOWN, WV
Title: Project Manager Assistant & Administrator I
Added 1 hour ago
Field Operations Manager
Walker-Miller Energy
Atlantic City, NJ
Our experience driven philosophy of energy efficiency as economic development helps families and businesses save energy and save money. Through innovative, inclusive initiatives, we help…
Added 1 hour ago
TA
Patient Liaison – Mobile Veterinary Services
The American Society for the Prevention of Cruelty to Animals
United States
- $26.85 to $28.29 USD / hour
Accurately and efficiently enter client and patient information into database
Added 1 hour ago
Technical Account Manager II, Google Cloud Consulting
Google
Los Angeles, CA
Understanding of IT operations, database systems, networking, IT security, application development, service architecture, cloud-native application development, hosted services, storage…
Added 1 hour ago
Technical Account Manager, Google Cloud Consulting
Google
Sunnyvale, CA · Los Angeles, CA
Understanding of IT operations, database systems, networking, IT security, application development, service architecture, cloud-native application development, hosted services, storage…
Added 2 hours ago
Resident Services Coordinator
EBRPHA
Baton Rouge, LA
Participate in the development of pilot programs to test new models of service delivery and carry out implementation of specified programming at assigned properties.

UnitedHealth Group

Manager, Commercial Data Mining - Remote

Plymouth, MN, United States

$91,700 to $163,700 USD / year

Apply About employer

Applications open in a new tab.

Job details

Pay: $91,700 to $163,700 USD / year
Posting language: English
Posted: Nov 2, 2026

Original job description

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.

Commercial Data Mining focuses on analyzing industry trends, payment policies, contractual agreements, and processed claims data to identify incorrect provider payments made by health insurance payers. Advanced data analytics are developed to support audit activities, validating claim accuracy and payment processes to determine both the root cause and financial impact of overpayments. Our teams ensure recoveries are executed accurately and in a timely manner, delivering measurable value to our clients.

As an Operations Manager on the Commercial Data Mining team, you will drive strategic ideation, establish operational standards, and optimize resource utilization. This role focuses on automating business processes, improving operational efficiency, and building solid client relationships to support both internal performance objectives and external financial goals.

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:

Ensure timely data acquisition and accuracy
Maintain ideation pipeline
Prioritize and manage audit production efficiency
Drive timely recoveries
Assist in strategic planning and budgeting
Effectively communicate with, manage, and develop staff
Provide reporting and attend meetings with internal and external stakeholders
Support internal quality assurance efforts

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:

4+ years of healthcare, health insurance, payer operations, claims, payment integrity, or related experience
2+ years of experience with healthcare coding guidelines, reimbursement policies, and payment methodologies
2+ years of experience communicating with business stakeholders, clients, or leadership
Proven understanding of healthcare claim adjudication and payer workflows
Demonstrated understanding of EDI data, including 837 claim submission and 835 payment/remittance data
Demonstrated ability to work independently and manage multiple priorities through completion
Proven knowledge of healthcare payment methodologies
Demonstrated proficiency in Microsoft Office software

Preferred Qualifications:

Solid understanding of database logic and software
Employee management and leadership skills
Solid presentation skills
Experience with client engagement
Experience working within a large organization

*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.

Apply About employer

More about this job

Skills

Data mining
Arrange audit
Strategic planning
Budget management
Develop staff
Reporting
Attend meetings
Quality assurance
Leadership
EDI
Work independently
Microsoft Office
Presentation skills

Report this job