Advisory Manager, Payer Operations - Remote

UnitedHealth Group; Eden Prairie (MN); Remote; USD 113,000 - 193,000; Full time

Job summary

UnitedHealth Group's Optum division seeks an Advisory Manager, Payer Operations - Remote to lead payer consulting engagements focused on payment integrity and payer operations. You will guide teams, manage projects, and translate analysis into measurable client value.

This role requires healthcare management consulting experience and travel up to 50%. Remote work is available nationwide, with in-office four days a week for Minneapolis or DC-area hires.

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%

Responsibilities

• Lead healthcare payer consulting engagements focused on payment integrity and payer operations.
• Manage teams and work through direct and indirect reporting relationships in a matrixed environment.
• Deliver projects on time and translate analysis and stakeholder feedback into client-ready recommendations.
• Articulate financial and operational value of recommendations to senior leaders.

Skills

Healthcare experience

Payer operations

Project management

Team leadership

Client presentations

Travel willingness

Process improvement (Lean/ Six Sigma/,

Agile methodologies

Education

Bachelor's degree or equivalent

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’llbe 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 asprovided 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.

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,locationand 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 marginalizedgroupsand those with lower incomes. We are committed to mitigating our impact on the environment and enabling and deliveringequitablecare 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. Candidatesare required to pass a drug test before beginning employment.