Director, Payer Solutions Implementation - Remote

UnitedHealth Group•Eden Prairie, MN

1d•$134,600 - $230,800•Remote

About The Position

The Director, Payer Solutions Implementation - Remote is a senior, client‑facing people leader who plays a critical role in shaping Optum’s payer growth strategy by setting the standards for pre‑sales solutioning, deal shaping, and scalable delivery execution. This role sits at the intersection of Sales, Product, Implementation, and Operations, ensuring payer client problems are accurately diagnosed, the right combination of Optum solutions is positioned, and commitments made during sales can be delivered predictably at scale. With a focus on Optum Real multi‑payer implementations, this leader brings deep payer domain expertise to pre‑sales and early client engagements—helping Sales identify the most effective, integrated Optum solutions to address payer challenges across medical network operations, connectivity, claims, eligibility, remittance, enrollment, and regulatory needs. The Director is accountable for architecting a team that will raise the quality of solution design upfront, reduce downstream delivery risk, and enable consistent, repeatable payer outcomes across the Optum portfolio. This role leads and develops a team of Solution Implementation Consultants, setting expectations, building capability, and reinforcing standards for how Optum engages payer clients from first conversation through steady‑state operations.

Requirements

7+ years in healthcare payer / clearinghouse / healthcare technology domains (claims, eligibility, ERA/remittance, enrollment, connectivity, regulatory)
5+ years leading complex implementations and/or solution consulting functions (portfolio governance, risk, delivery assurance, operational handoffs)
3+ years of people leadership (hiring, coaching, building teams, setting standards, performance management)
Experience operating at both strategic and execution levels within healthcare technology or payer ecosystems
Deep expertise in medical payer operations, including claims, eligibility, ERA/remittance, attachments, enrollment, connectivity, and regulatory considerations
Demonstrated success influencing senior stakeholders and executives, internally and externally.
Solid portfolio, risk, and delivery management capabilities in ambiguous, fast moving environments
Proven solid verbal and written communication skills with senior leadership

Nice To Haves

Healthcare payer, clearinghouse, network, or healthcare technology leadership experience
Experience scaling delivery models in a multi‑client, multi-payer environment
Senior‑level expertise in medical payer operations, including claims, eligibility, remittance, attachments, enrollment, network connectivity, and regulatory considerations
Prior roles in solution consulting, implementation leadership, technical program management, or operations
Proven solid executive presence with the ability to influence Sales, Product, and Delivery leaders without direct authority

Responsibilities

Lead, mentor, and develop a team of Payer Solutions Implementation Consultants and Implementation Leaders, setting clear expectations, performance standards, and career paths
Set expectations for consultative presence, sales partnership, and delivery discipline
Build a solid payer domain bench by hiring, onboarding, and upskilling talent with deep medical payer, clearinghouse, and network expertise
Foster a culture of execution discipline, accountability, client advocacy, and continuous improvement
Act as an escalation point for complex payer issues, client concerns, and cross functional delivery risks
Serve as a senior trusted advisor to payer executives, guiding solution strategy across claims, eligibility, ERA, attachments, enrollment, connectivity, APIs, and regulatory considerations
Serve as a senior pre‑sales partner to Sales and Growth leaders, engaging early in pursuits to shape client strategy, solution positioning, and deal structure
Establish the team and standards for partnering with Sales to improve deal quality, win confidence, and long‑term client satisfaction by aligning solution ambition with delivery reality
Influence solution designs to balance payer specific needs with multi-payer standardization, protecting long-term operational sustainability
Represent payer perspectives in senior level roadmap, investment, and prioritization discussions
Own a portfolio of complex payer implementations from solution design through go live and transition to steady state operations
Establish and enforce implementation governance, including scope control, milestones, success criteria, risk management, and readiness standards
Ensure consistent delivery quality across implementations by standardizing playbooks, templates, tooling, and assurance checkpoints
Drive alignment between sales commitments, delivery execution, and operational handoff to reduce rework and post‑go live issues
Act as the primary connective leader across: Sales & Growth, Product Management, Engineering & Architecture, Implementation & Onboarding, Support & Operations
Ensure payer requirements are clearly translated and not degraded across handoffs from sales through delivery
Influence platform and roadmap decisions by bringing real‑world payer insights from sales pursuits and implementations
Establish solid feedback loops to Product and Engineering based on payer insights, implementation friction, and emerging market needs
Identify systemic implementation challenges and drive improvements in: Standardization and repeatability, Tooling and automation, Delivery assurance and risk controls, Time to value and cycle time reduction
Establish and enforce solutioning and implementation standards to ensure consistency across payer deals, markets, and teams
Own accountability for reducing gaps between sales commitments and execution, minimizing rework, escalations, and post‑go‑live issues
Ensure implementations are delivered with a focus on long-term operational stability, not just initial launch success
Lead initiatives to mature Optum Real’s multi-payer delivery operating model