Advisory Manager, Payer Operations - Remote - Remote Eligible

Advisory Manager, Payer Operations - Remote

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.

The Advisory Manager, Payer Operations - Remote is a leader within the Optum Advisory Service - Payer Practice, serving health care payer clients. The role requires a leader with proven healthcare consulting and operations exposure to and/or experience in developing business solutions as well as leading solution delivery with clients. Success in this role requires prior healthcare management consulting experience with a focus in operational optimization as well as business domain experience within Payer Operations in one or more of the following payer value chain functions:

• Claims operations
• Payment integrity and/or special investigations
• Appeals and grievances
• Compliance and regulatory
• Member/consumer and provider services, (i.e., call services, omnichannel)
• Operational financial management
• Operational performance management and business reporting and analytics

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:

• Client Engagement Leadership and Delivery
• Management of multiple, concurrent client engagements, as required
• Effectively manage, coach and mentor resources within assigned engagements
• Develop business strategies, plans and cost benefit analyses
• Drive client implementations of products, solutions and/or services
• Ensure high quality delivery of all engagements, client relationships and client delivery
• Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies
• Ensure and deliver high quality verbal and/or written communication and artifacts
• Drive/participate in presentations and meetings with all levels of the organization
• Market Planning and Thought Leadership
• Participate in client sales processes and cycles
• Participate in the identification and development of consulting offerings, products, services and/or solutions
• Define market needs & gaps to current capabilities
• Research and formulate solutions to address fluctuating market conditions
• Drive and/or conduct research studies, develop white papers and complete industry research for market and sales planning

Individual Accountabilities:

• Effectively build and maintain high-quality, high value-add relationships with clients, teams, peers and partners
• Drive NPS to achieve annual targets
• Demonstrate and work with urgency to exceed client and/or customer expectations
• Ensure utilization rate is attained annually
• Ensure practice development goals and targets are attained annually
• Drive and lead practice and solution maturity and development opportunities
• Drive practice success and deliver high value-add outcomes

The consulting environment is challenging and fast-paced, requiring the following core competencies:

• Self-Motivated/Ambitious
• Critical Thinking / Problem Solving
• Adaptability
• Creativity and Persuasiveness
• Personal Accountability
• Executive Presence
• Organization

Required Qualifications:

• 7+ years of relevant health care work experience
• 3+ years of healthcare management consulting experience
• 3+ years demonstrated program, project and/or team leadership experience
• Experience across multiple lines of health care payer lines of business
• Solid interpersonal and relationship management skills
• Demonstrated experience in customer or client relationship management
• Demonstrated, solid communication and presentation skills
• Proven experience in data analysis and financial analysis
• Ability to work in complex, highly matrixed fast-paced environments
• Proven analytical problem-solving skills
• Program and operational coordination and management skills
• Ability to travel up to 50%

Preferred Qualifications:

• Demonstrated experience with proven operational and/or process improvement methodologies
• Solid ability to influence and motivate cross functional teams
• Experience mentoring junior level staff
• Experience managing projects that achieved budget and timeline goals

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). The salary for this role will range from $110,200 to $188,800 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 deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer 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.