IT/Technology

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Strategic Account Executive manages ongoing client relationships and strategic partnership initiatives for an assigned book of business dedicated to Health Plans. The Strategic Account Executive serves as a client facing resources for assigned clients. They are client advocates within the organization and coordinate with other functional areas within the organization to manage to the contract, which includes rebates, performance guarantees, position and win upsells, meet contractual obligations, etc. They may work closely with Sales on prospective clients and RFP responses. The Strategic Account Executive is responsible for upselling appropriate services to clients, renewal of existing contracts, retention of membership and maintaining high client satisfaction. The Strategic Account Executive must be self-directed and able to work in a self-structured environment. Candidate will be able to hold themselves accountable to their responsibilities, and should be a resource, coach and teacher to others. They must be able to assess and interpret client needs and requirements, and then identify solutions and company capabilities, translating concepts into practice. They are able to work on complex problems and issues, and provide innovative and effective solutions that support both the client and the organizations goals and objectives. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Manages assigned accounts with a focus on client trend and contract performance, strategic plan development and execution, cultivating and maintaining multi-level client relationships Manages client contract renewal or market check activities with the primary goals of retaining client, obtaining multiple year agreements and maintaining or improving profitability Accountable for understanding the primary business objectives of the client, developing and managing shared goals, and demonstrating program value to the client Understands OptumRx product and service offering, and can articulate the operational, clinical and financial value of our programs to the client across multiple stakeholders with the goal of deploying new programs and services Maintains consistent, accurate, and regular client communications Prepares and presents regular client performance reviews, including identification of cost drivers, recommendations for cost savings opportunities, utilization and cost reports, and OptumRx industry news Maintains a complete understanding of client contract terms including but not limited to the monitoring and reporting of performance guarantees, rebate performance and contractual obligations; ensures that all assigned contracts are monitored and reported as stated in the terms Responsible for facilitating the creation and delivery of client presentations, implementation activities as applicable and daily client interaction Stays abreast of industry trends and developments, and demonstrates strong communication skills in presenting these to clients Demonstrates expertise in pharmacy benefit strategies and OptumRx Rx clinical programs, and can articulate these accurately to clients and internal partners Provides leadership to team members in client, segment, and corporate initiatives Provides regular feedback to management team regarding client metrics, client requirements and business development opportunities Maintains documentation on clients in both Optum systems, and within client dashboards – examples include the Executive Sponsor Dashboard and Salesforce Participates in sales preparation meetings and finalist sales presentations as necessary Responsible for ensuring client satisfaction and developing action plans if NPS does not reflect high client satisfaction Provides support to other departments as requested Exhibits compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, Code of Conduct, Business Ethics Policies and Procedures and other policies and procedures applicable to position Actively participates in Compliance and Ethics Program, including attending annual compliance and ethics training and reporting suspected violations of the law or OptumRx’s policies and procedures via OptumRx’s Procedures for Reporting Incidents of Possible Improper Employment Practices, Misconduct, or Improper Financial/Accounting Practices Follows all policies and procedures relating to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Account Management, as appropriate 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: 3+ years of experience in PBM client account management 2+ years of experience with managing client contracts Proficient with MS Suite - Word, Excel, PowerPoint Ability to potentially travel up to 25% Willing to work with clients and colleagues across various time zones Preferred Qualifications: 3+ years of experience with upsell programs to clients 2+ years of PBM operations experience 2+ years of experience supporting PBM Healthplan clients Project Management Experience/Certification Familiarity with RxClaim; Tracker and Navigator Advanced understanding of PBM industry *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 $89,900 to $160,600 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 make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is 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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

About Capitol Bridge Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews. Job Overview Capitol Bridge is seeking a Case Manager to join our growing team! The Case Manager is a full-time position supporting an important project. The call center is operational between the hours of 8:30am to 5pm, Monday to Friday. To prepare you for this endeavor, Capitol Bridge will offer paid, comprehensive training that will provide you with the tools and resources to assist with the highest level of service, support, and professionalism. Location: Columbia SC Start Date: August 11, 2025 Pay and Benefits: Pay Rate: $18.50/hr Medical, Dental, and Vision benefits available 401(k) available with company match Paid holidays PTO Job Responsibilities Conduct outbound calls to applicants to complete necessary documentation and gather relevant information. Assist applicants in completing application forms via phone, providing guidance and support throughout the process. Respond to incoming calls from applicants and providers. Record all pertinent details during calls or communicate via letter to applicants regarding the required information and documentation for packet completion. Assess applicant eligibility during initial outreach conversations. Provide clear guidance to applicants on how to obtain specific records necessary for their packets. Review submitted packets to ensure the inclusion of all required documentation and information. Offer assistance to applicants in collecting necessary documentation, including facilitating three-way calls with their providers or medical records offices. Utilize the language line to assist applicants facing language barriers. Track document requests and verify receipt with provider offices and medical record facilities within the system. Follow up with applicants and/or providers, as needed, to request any missing information or records. Perform additional related duties as assigned Required Qualifications High school diploma or G.E.D. is required. A minimum of one year of experience in a customer service role with measurable performance metrics. Proficient in computer use, including Microsoft Office Suite, internet navigation, and various systems. Highly organized with strong prioritization skills. Proficient in both spoken and written English. United States citizenship is required. Experience in a call center environment is a plus. Previous experience in healthcare settings is advantageous. Preferred Qualifications Integrity Accountability Cooperative/Team Player Emotional Intelligence Empathetic Adaptive Foster open communication Reasonable Accommodation If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. EEO Statement Capitol Bridge LLC. is an Equal Opportunity Employer. All employment decisions at Capitol Bridge are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Texting Notice We communicate with applicants by text in addition to email and phone. If you apply for this position, we may text you about this position, your application for the position, or other things relevant to this job position. If we text you and you no longer want us to text you, you can opt out at that time.

Work From Home-Customer Service Spanish/English Bi-Lingual ***Equipment Provided*** ***Paid Training*** At ACC Premiere, we're passionate about customer service. Our talented team of professionals provides exceptional service experiences for the consumers of many well-known brands via phone, social media, live chat, email, SMS, and video platforms. Our company prides itself on promoting from within and our culture is built on communication and an employee-centric work environment. We are seeking individuals with experience in retail, sales, retention and/or data entry. We are currently hiring professionals to work in the role of: Remote Bilingual Spanish Customer Service Representative RESPONSIBILITIES: Handle customer inquiries and complaints in both English and Spanish Maximize every sales opportunity by upselling and cross-selling profitable products Document and update customer records based on interactions Maintain a knowledge base of the evolving products and services Increase customer retention by implementing creative problem-solving skills Handle numerous customer inquiries promptly, accurately, and efficiently PREFERRED SKILLS: Minimum of 2 years customer service experience in a call center environment Experience supporting luxury brand products and services Experience supporting home appliances Positive and professional demeanor Excellent written and verbal communication skills both English and Spanish Minimum HS diploma, college preferred Experience with diagnosing and troubleshooting Has experience supporting consumer products and/or services. TRAINING: Product training (Understanding of our client's range of products, ingredients, application, adverse effects, etc.) Systems training (How to use CRM and ACD Tools) Remote training (via the video conference platform Zoom) 100% Attendance WHY US? We inspire and develop employees to be able to effectively empathize with consumers. We create experiences that provide promotion opportunities from within. We motivate and encourage our employees to contribute new viewpoints which add to our team-oriented culture! EEO Statement: ACC Premiere is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, ancestry, age, disability, veteran status, or any other status legally protected by federal, state, or local law.

Job Title: ETL Automation Specialist Location: Columbia, SC Duration: 12 Months Pay Rate: $55 – $60/hour Candidate must be a CURRENT South Carolina resident. No relocation allowed. Job Description: The ETL Automation Specialist will focus on developing robust automated testing frameworks for data pipelines and transformations. This role will support continuous improvement efforts within enterprise-scale data systems. Daily Responsibilities: Develop scalable, reusable Python-based frameworks for automated ETL testing. Automate test execution within CI/CD pipelines to support DevOps practices. Perform data quality validation using SQL and Python-based tools. Conduct performance and load testing on data pipelines. Collaborate with DevOps engineers to optimize test automation architecture. Create clear, actionable defect reports and work closely with developers for issue resolution. Utilize Git, Jenkins, Azure DevOps, or equivalent tools for version control and pipeline management. Required Skills: 5+ years ETL and data pipeline testing experience. 3+ years building Python-based automation frameworks. Strong SQL scripting skills (SQL Server, Oracle). Experience integrating tests into CI/CD environments. Preferred Skills: Experience with Docker, Kubernetes, or containerized data environments. Familiarity with Airflow or other orchestration platforms. Healthcare or Medicaid project experience is preferred.

Job Title: API & Data Quality Test Engineer Location: Columbia, SC Duration: 12 Months Pay Rate: $55 – $60/hour Candidate must be a CURRENT South Carolina resident. No relocation allowed. Job Description: We are looking for an API & Data Quality Test Engineer to validate REST APIs and backend data pipelines supporting enterprise reporting systems. This role involves API testing, SQL-based data validation, and contributing to automated test frameworks. Daily Responsibilities: Write and execute REST API tests using Postman or similar tools. Validate backend data processing pipelines using SQL and Python scripts. Automate test scenarios for both APIs and data pipelines. Collaborate with development teams to clarify data requirements and system interfaces. Perform regression testing and support production releases. Track test cases, results, and defects using JIRA or Azure DevOps. Support integration of automated tests into CI/CD workflows. Required Skills: 3+ years API test automation experience. 3+ years SQL scripting for data validation. 2+ years Python scripting for automation tasks. Familiarity with JSON, XML, and RESTful APIs. Preferred Skills: Experience with Selenium or similar UI automation tools. Knowledge of data orchestration tools such as Apache Airflow. Background in healthcare or regulated environments is a plus.

Job Title: Cloud Data Engineer – Consultant Location: Columbia, SC Duration: 12 Months Pay Rate: $75 – $80/hour Candidate must be a CURRENT South Carolina resident. No relocation allowed. Scope of the Project: Seeking a Cloud Data Engineer to support enterprise data initiatives, focusing on developing and optimizing cloud-based data pipelines and architectures supporting advanced analytics and reporting. Daily Duties / Responsibilities: Design, build, and maintain data pipelines and ETL processes in AWS or Azure environments. Implement data ingestion and transformation frameworks using Python, SQL, and cloud-native services. Collaborate with business analysts and data scientists to ensure data pipelines support analytical needs. Monitor pipeline performance and troubleshoot system inefficiencies. Document data architectures, processes, and best practices. Ensure data security and compliance standards are met. Required Skills: 3+ years of hands-on experience with Python, SQL, and cloud data engineering. Experience with AWS Glue, Lambda, Redshift, or Azure Data Factory and Synapse. Strong understanding of ETL development, pipeline optimization, and data architecture. Proficient in data modeling and data governance practices. Familiarity with data warehousing platforms such as Snowflake or Amazon Redshift. Preferred Skills: AWS or Azure certifications. Experience working with healthcare data or Medicaid systems.

Job Title: Business Analyst – Consultant Location: Columbia, SC (Hybrid) Duration: 12 Months Pay Rate: $70–$75/hour Candidate must be a CURRENT South Carolina resident. No relocation allowed. Job Description: Seeking a Business Analyst – Consultant to support a large Medicaid modernization project. The role focuses on developing and maintaining Advanced Planning Documents (APDs) and other state/federal documentation related to healthcare IT systems. Key Responsibilities: Develop and maintain APDs and regulatory documentation. Work with project teams to gather and document technical and business information. Simplify complex concepts into clear documentation. Support project reporting, policies, procedures, and SOPs. Required Skills: 3+ years with APD development and maintenance. 3+ years in Medicaid, Health IT, or government healthcare programs. 4+ years preparing technical documentation. Strong writing, communication, and project documentation skills. Proficient with Microsoft Office Suite. Preferred Skills: Experience with RFPs, RFIs, business process documentation, and collaboration tools like SharePoint or Jira.

Job Title: Business Analyst – Consultant Location: Columbia, SC (Hybrid) Duration: 12 Months Pay Rate: $70–$75/hour Candidate must be a CURRENT South Carolina resident. No relocation allowed. Job Description: Seeking a Business Analyst – Consultant to support a large Medicaid modernization project. The role focuses on developing and maintaining Advanced Planning Documents (APDs) and other state/federal documentation related to healthcare IT systems. Key Responsibilities: Develop and maintain APDs and regulatory documentation. Work with project teams to gather and document technical and business information. Simplify complex concepts into clear documentation. Support project reporting, policies, procedures, and SOPs. Required Skills: 3+ years with APD development and maintenance. 3+ years in Medicaid, Health IT, or government healthcare programs. 4+ years preparing technical documentation. Strong writing, communication, and project documentation skills. Proficient with Microsoft Office Suite. Preferred Skills: Experience with RFPs, RFIs, business process documentation, and collaboration tools like SharePoint or Jira.

Job Title: API & Data Quality Test Engineer Location: Columbia, SC Duration: 12 Months Pay Rate: $55 – $60/hour Candidate must be a CURRENT South Carolina resident. No relocation allowed. Job Description: We are looking for an API & Data Quality Test Engineer to validate REST APIs and backend data pipelines supporting enterprise reporting systems. This role involves API testing, SQL-based data validation, and contributing to automated test frameworks. Daily Responsibilities: Write and execute REST API tests using Postman or similar tools. Validate backend data processing pipelines using SQL and Python scripts. Automate test scenarios for both APIs and data pipelines. Collaborate with development teams to clarify data requirements and system interfaces. Perform regression testing and support production releases. Track test cases, results, and defects using JIRA or Azure DevOps. Support integration of automated tests into CI/CD workflows. Required Skills: 3+ years API test automation experience. 3+ years SQL scripting for data validation. 2+ years Python scripting for automation tasks. Familiarity with JSON, XML, and RESTful APIs. Preferred Skills: Experience with Selenium or similar UI automation tools. Knowledge of data orchestration tools such as Apache Airflow. Background in healthcare or regulated environments is a plus.

Job Title: Technical Business Analyst – Healthcare Location: Columbia, SC (Hybrid) Duration: 12 Months Pay Rate: $70 - $75/hour Candidate must be a CURRENT South Carolina resident. No relocation allowed. Job Description: Seeking a Technical Business Analyst to support healthcare IT modernization efforts. This role focuses on translating business needs into technical requirements and guiding system enhancements, with a strong emphasis on Medicaid systems. Responsibilities: Document functional and technical specifications. Analyze workflows and identify process improvement opportunities. Collaborate with technical teams to ensure business needs are addressed. Facilitate stakeholder meetings and workshops. Support system testing and validation activities. Requirements: 5+ years in healthcare IT or Medicaid-related projects. Experience with EDI formats and MITA frameworks. Strong skills in business analysis, documentation, and stakeholder engagement.