Jobs at Optum

Perform in-home long-term care insurance assessments: collect demographics, physician and medication information, conduct cognitive screening, and evaluate ADL/IADL functional status using a point-of-care web application on a laptop or tablet.

Lead operational execution and delivery tracking for complex, multi-team software programs. Coordinate dependencies, manage release schedules, identify and mitigate risks, define and report delivery metrics, facilitate planning and retrospectives, partner with product and technical leads, and use automation/AI tools to improve reporting and operational efficiency.

Lead hospital and institutional contracting strategy for Optum Health California. Negotiate and manage complex provider contracts across Medicare Advantage, Commercial, and Medicaid; build and coach a contracting team; align cross-functionally; maintain executive relationships with hospital systems; monitor partner performance and drive value-based care, cost management, and quality improvement.

Provide patient care under RN/clinician supervision: prepare patients, obtain vitals and specimens, administer medications and tests, maintain treatment areas and records, handle phone screening, assist patient flow and prescriptions, and perform operational duties as assigned.

Register and verify patient demographics and insurance in the ADT system, prevent duplicate MRNs, collect signatures and documentation, scan records, meet CMS billing and EMTALA requirements, assess presumptive eligibility, handle ED-specific registration protocols, and follow downtime procedures.

Lead regional patient access operations and Epic patient-access system design/configuration. Manage staffing, projects, and incident resolution; translate business needs into functional specs; optimize workflows and performance; partner with operational leaders to improve patient access outcomes; hire, coach, and develop teams while ensuring compliance and applying Lean principles.

Implement data-driven workplans to improve Medi‑Cal quality measures (HEDIS, CMS, CAHPS), engage provider practices, track performance, train staff, support EHR-Cozeva workflows, and coordinate outreach and improvement initiatives to close care gaps.

Provide high-quality direct patient care in a clinical setting: collect vitals and patient information, assist with injections, EKGs and phlebotomy, prepare and clean exam rooms, document assessments and procedures in EMR, coordinate care, and handle phone calls and messages.

As a per diem Staff Pharmacist, you will ensure accurate medication orders, mentor staff, and oversee pharmacy operations, collaborating with healthcare teams for optimal patient care.

Design and build Azure cloud-native data solutions and enterprise ETL/ELT pipelines using Databricks, ADLS, Spark, and streaming patterns. Lead data engineers, create reusable components, optimize performance and cost, support QA/UAT and production troubleshooting, and ensure engineering standards, CI/CD, and operational readiness.

The Appeals and Grievances Medical Director oversees clinical review and adjudication of appeals for health plans, communicates with medical directors, and contributes to organizational projects and committees.

The National Coding Educator provides expertise in risk adjustment and quality coding, consults with providers, facilitates audits, and delivers training on coding and documentation compliance.

Review, research, and resolve member grievances from intake to resolution, collaborating with health plans, providers, and internal teams. Track and document case progress, draft member correspondence, obtain medical records, support audits and regulatory inquiries, and ensure timely, accurate, and HIPAA-compliant case management.

Conduct investigations into healthcare fraud, waste, and abuse using claims data and regulatory guidance. Collect evidence, perform interviews/fieldwork, document findings, support legal proceedings, collaborate with state/federal partners, and maintain SIU case records. Ensure regulatory compliance and contribute to settlement negotiations.

The Internal Medicine Physician will provide primary care to patients aged 18 and older, manage chronic diseases, conduct wellness checks, and collaborate with a multidisciplinary team while adhering to a quality-focused model of care.

Provide outpatient primary care in a clinic setting: conduct consults, follow-ups, well checks, screenings, and manage primarily adult and senior patients. Work M–F, no weekends or call, with dedicated nursing and medical assistant support and an average daily census of 18–20 patients.

The Primary Care Physician will provide outpatient care including consultations, annual visits, and follow-ups, supported by a medical assistant.

Optum seeks an Internal Medicine Physician to join their team for primary care. Responsibilities include chronic disease management and wellness checks with a focus on quality patient care and collaboration within a multidisciplinary team.

The Internal Medicine Physician will provide primary care to patients aged 18 and older, manage chronic diseases, and collaborate with a multi-disciplinary team. Responsibilities include patient consultations, routine screenings, and administrative duties, all within a supportive environment.

The Internal Medicine Physician will provide comprehensive care for patients, manage chronic diseases, and collaborate with a health care team. Responsibilities include routine screenings and consultations, with built-in administrative time. This role offers a supportive environment focused on quality patient care.