Director, Payer Network Optimization & AI Insights

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

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

Optum Insight in the United States is seeking a Director of Payer Network Optimization to own the integrated portfolio across provider directory, network adequacy, and provider performance, turning data into actionable, ROI-driven decisions.

You will productize network economics, benchmarks, simulations, and analytic workflows that are explainable and trusted. Remote work is available with in-office requirements in certain locations.

Qualifications

• 8+ years of overall experience across healthcare, technology, analytics, product, or related environments.
• 5+ years of experience in payer network strategy, network economics, medical economics, or closely related areas.
• 5+ years of experience translating complex healthcare business or domain problems into technology, analytics, AI, or scalable product capabilities.
• Demonstrated ability to work effectively across network strategy, actuarial/finance, analytics/data science, and business stakeholders.
• Proven executive and client communication skills, including simplifying complex concepts into clear decisions and opportunities.
• Demonstrated innovation and AI orientation, including applying AI or advanced analytics for business value.

Responsibilities

• Own the Network Optimization product strategy, roadmap, prioritization, delivery, commercialization, and outcome goals within Value Connect.
• Prioritize high-value use cases across network strategy and value-based network design, access, adequacy, provider performance, referrals, leakage, steerage, and cost-of-care improvement.
• Translate network strategy, analytics, benchmarks, and simulations into trusted decision-support workflows.
• Partner with engineering, UX, data science, architecture, actuarial, medical economics, and go-to-market teams to deliver scalable capabilities.
• Ensure product logic and AI-enabled insights are explainable and aligned to client value and ROI.
• Communicate roadmap decisions and risks clearly to senior stakeholders, clients, and commercial partners.

Skills

Healthcare economics

Payer network strategy

Network economics

Cost-of-care analytics

Technology translation

Executive communication

AI orientation

Job description

Optum Insight in the United States is seeking a Director of Payer Network Optimization to own the integrated portfolio across provider directory, network adequacy, and provider performance, turning data into actionable, ROI-driven decisions.

You will productize network economics, benchmarks, simulations, and analytic workflows that are explainable and trusted. Remote work is available with in-office requirements in certain locations.