Remote Clinical Process Improvement Lead

UnitedHealthcare; Minnetonka (MN); Remote; USD 92,000 - 131,000; Full time

Job summary

UnitedHealthcare is seeking a Clinical Program Consultant - Process Modernization to lead workflow modernization and operational improvement initiatives across UCS Operations & Implementation. You will partner with clinical, operations, policy, benefits, coding, configuration, product, technology, regulatory, compliance, and line-of-business teams to improve processes and enable scalable workflows.

You’ll enjoy the flexibility to work remotely from anywhere in the U.S.

Qualifications

• Experience facilitating cross-functional discovery sessions and translating needs into clear requirements.
• Experience managing complex projects or programs within healthcare, clinical operations, technology, or matrixed environments.
• Experience developing project plans and managing milestones, dependencies, risks, issues and governance.
• Proficiency using AI tools to support project delivery, workflow analysis, and process improvement.
• Ability to coordinate clinical, operational, business, and technical stakeholders.
• Strong analytical, problem-solving, written, and verbal communication skills.
• Ability to manage multiple interconnected initiatives and competing priorities.

Responsibilities

• Lead workflow modernization initiatives from discovery to deployment and ownership.
• Develop integrated project plans covering scope, milestones, owners, risks, testing and activities.
• Facilitate workflow discovery with stakeholders to identify pain points and opportunities.
• Translate findings into clear requirements, future-state processes and measurable outcomes.
• Coordinate cross-functional delivery across clinical, operations, policy, benefits, coding, configuration, technology, regulatory and line-of-business partners.
• Establish cadence, sessions, RAID management, decision tracking and escalation processes.
• Coordinate requirements validation, testing, change readiness, communications and implementation planning.
• Provide leadership reporting on progress, milestones, risks, dependencies and readiness.
• Support modernization efforts including prior authorization intake and automation initiatives.

Skills

Cross-functional collaboration

Project management

AI tooling

Requirements development

Stakeholder coordination

Analytical skills

Tools

AI tools

Job description

UnitedHealthcare is seeking a Clinical Program Consultant - Process Modernization to lead workflow modernization and operational improvement initiatives across UCS Operations & Implementation. You will partner with clinical, operations, policy, benefits, coding, configuration, product, technology, regulatory, compliance, and line-of-business teams to improve processes and enable scalable workflows.

You’ll enjoy the flexibility to work remotely from anywhere in the U.S.