Advisory Manager, Payer Operations

Advisory Manager, Payer Operations - Remote

Location: Eden Prairie United States

Job category: OptumInsight Consulting

Overtime status: Exempt

Travel: Yes, 50 % of the Time

Job Description:

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Advisory Manager, Payer Operations - Remote leads healthcare payer consulting engagements focused on payment integrity and payer operations. This role is accountable for leading teams, managing work through direct and indirect reports, delivering projects on time, and translating analysis and stakeholder feedback into clear, client-ready recommendations that demonstrate measurable business value.

Success in this role requires healthcare management consulting experience and demonstrated expertise in payment integrity and payer operations, including claims operations, operational performance, and financial value realization.

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.

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:

• 5+ years of relevant healthcare experience, including health plan operations or healthcare management consulting
• 3+ years of healthcare management consulting experience serving payer clients
• 3+ years of experience with payment integrity and payer operations, including claims processes, operational controls, performance drivers, and financial impacts
• 3+ years of experience leading teams and managing work through direct and indirect reporting relationships in a matrixed environment
• 3+ years of project management experience, including scope, work plans, milestones, dependencies, risks, and on-time delivery
• 3+ years of experience creating and delivering client-facing presentations for senior leaders and executive audiences
• 3+ years of experience soliciting, synthesizing, and acting on direct client and leadership feedback)
• 3+ years of experience developing business cases and cost-benefit analyses and articulating the financial and operational value of recommendations
• Ability to travel up to 50%

Preferred Qualifications:

• Experience applying process improvement or implementation methodologies, such as Lean, Six Sigma, or Agile
• Experience supporting payment integrity transformation, audit, recovery, prevention, or operational optimization initiatives
• Written, verbal, facilitation, relationship-management, and executive communication skills

*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 $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.