Sr. Consultant - Payer Advisory Services - Remote

UnitedHealth Group; Eden Prairie (MN); Hybrid; USD 92,000 - 164,000; Full time

Job summary

UnitedHealth Group's Optum Advisory Services seeks a Sr. Consultant to serve as a trusted adviser on payer systems and applications. You will create designs, requirements, and user stories; lead discovery sessions; and support agile project activities in a fast-paced environment.

Remote work is available nationwide with in-office four days weekly for Minneapolis or DC-area projects, and regular travel up to 25% may be required depending on project needs.

Qualifications

• 3+ years of healthcare payer operations and/or technology experience in at least one payer domain (claims, enrollment/eligibility, billing, provider)
• 2+ years of external client-facing consulting experience
• 2+ years documenting consulting deliverables (requirements, features, user stories, test cases, mappings)
• 2+ years creating process flow diagrams
• 1+ years working with core administration systems (e.g., Facets, QNXT, Health Rules Payer, Tapestry)
• 1+ years managing a workstream
• 1+ years with PowerPoint and/or Visio
• Willingness to travel domestically up to 25%

Responsibilities

• Support projects for payer systems and applications by designing technical/business processes and owning deliverables
• Use enterprise AI tools to streamline workflows and drive improvement
• Contribute to team problem solving across projects
• Structure team sessions for discovery and problem solving
• Facilitate client discovery sessions to capture requirements
• Create deliverables translating business needs to technical requirements
• Participate in PI planning, grooming, and sprint planning
• Lead or participate in practice development projects
• Communicate risks with actionable recommendations
• Prepare high-quality deliverable documentation and review sessions

Skills

Healthcare payer operations

Consulting experience

Requirements documentation

Process design

Client discovery facilitation

Agile project participation

Team facilitation

Tools

Jira

Rally

Visio

Miro

MS Project

Job description

OptumInsightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, andultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,qualityand revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.

The Sr. Consultant is a consultant and trusted advisor within Optum Advisory Services.

You'llenjoy 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:

• As a trusted subject matter expert, the consultant will support projects for payer systems and applications by creating technical and business process designs, performing analysis, writing requirements, conducting workstream sessions, fostering healthy client relationships, and taking ownership of deliverables in a fast-paced environment
• As an AI user:
  • Use enterprise-approved AI tools to streamline workflows, automate tasks and drive continuous improvement.
  • Evaluate emerging trends to inform solution design and strategic innovation
• Major contributor to team problem solving across full scope of project
• Able to structure and drive team working sessions (e.g., problem solving, discovery) with assistance from delivery lead
• Able to facilitate or participate in client discovery sessions to capture requirements and document process flows
• Establish self as knowledgeable/credible on topics
• Use process design and testing tools to support client work. (e.g., Jira, Rally, Visio, Miro)
• Create documented deliverables that translate business needs to technical requirements Examples of deliverable include writing features, specifications, user stories related to payer value chain (e.g., claims, enrollment, provider, customer service, care management.)
• Participate in agile project activities such as PI planning, grooming, sprint planning and prioritization
• Lead or participate in various practice development projects
• Proactively anticipate and communicate challenges and risks with recommendations to address issues
• Work independently or as a team member to create high-quality deliverable documentation
• Facilitate deliverable review sessions with clients to obtain input and approval
• Communicates effectively and accurately in writing and verbally to prospects, members and other team members

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 asprovidedevelopment for other roles you may be interested in.

Required Qualifications:

• 3+ years of healthcare Payer operations and / or technology experience in at least one of the following payer domains: claims, enrollment / eligibility, billing, provider
• 2+ years of external client-facing consulting experience
• 2+ years of experience documenting consulting deliverables (e.g., documenting requirements, writing features, user stories, test cases, technical specifications / mapping documents
• 2+ years of experience creating process flow diagrams
• 1+ years of experience working with at least one core administration system (ex: Facets, QNXT, Health Rules Payer, Tapestry)
• 1+ years of experience in managing a workstream
• 1+ years of experience with PowerPoint and/or Visio
• Willingness to travel domestically, up to 25% depending on project requirements

Preferred Qualifications:

• Experience working on at least one agile project
• Experience working on at least one end-to-end payer systems and application implementations or migration project
• Hands-on experience working with Facets
• Experience with any / all of the following applications: MS Project, Smartsheet, Service Now, Jira, Rally
• Experience in a Product Owner role
• Experience working on a cloud migration project
• Experience using Microsoft Copilot, writing prompts, and creating agents

*All employees working remote will berequiredto 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 $91,700 - $163,700 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.