Advisory Manager, Payer Operations - Remote

UnitedHealth Group•Eden Prairie, MN

12h•$112,700 - $193,200•Remote

About The Position

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.

Requirements

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%

Nice To Haves

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

Responsibilities

Leads healthcare payer consulting engagements focused on payment integrity and payer operations.
Accountable for leading teams, managing work through direct and indirect reports, delivering projects on time.
Translates analysis and stakeholder feedback into clear, client-ready recommendations that demonstrate measurable business value.