Manager, Payer Advisory Services - Remote
About The Position
This Manager role is part of Optum’s AI-first consulting organization and focuses on business advisory and consulting rather than technology development or engineering. The manager serves as a trusted advisor to health plan clients, helping define business needs, evaluate technology-enabled solutions, and lead large-scale transformation initiatives. The role works with client business leaders, operational stakeholders, product teams, and technology organizations to align solutions with strategic objectives and deliver measurable business value. The position combines healthcare payer operations expertise, consulting, stakeholder management, and familiarity with payer platforms and technologies. It emphasizes business transformation, strategic advisory, operational improvement, and client delivery leadership, while requiring an understanding of technology capabilities and system implementations. The role is remote within the United States. Employees hired in the Minneapolis or Washington, D.C. area must work in the office at least four days per week. Domestic travel may be required up to 25%, depending on project needs. Remote employees must follow UnitedHealth Group’s Telecommuter Policy. The position’s annual salary range is $112,700–$193,200, based on full-time employment and other factors.
Requirements
- At least 5 years of healthcare payer operations and/or technology experience in at least one payer domain, such as claims, enrollment/eligibility, billing, or provider.
- At least 5 years of external client-facing consulting experience.
- At least 5 years of experience leading at least two consulting engagements or workstreams involving requirements, features, user stories, test cases, technical specifications, or mapping documents.
- At least 3 years of experience creating process flow diagrams.
- At least 3 years of experience working on at least one agile project as a Product Owner or in a comparable role.
- At least 3 years of experience using PowerPoint and/or Visio.
- At least 2 years of experience working with at least one core administration system, such as Facets, QNXT, HealthRules Payer, or Tapestry.
- Ability to work independently to create consulting deliverables, including project plans.
- Willingness to travel domestically up to 25%, depending on project requirements.
Nice To Haves
- Demonstrated experience using AI tools such as Copilot or Claude to improve client delivery, develop insights, accelerate content creation, and drive operational efficiency while maintaining quality, compliance, and responsible AI standards.
- Experience working on at least one end-to-end payer systems and applications implementation or migration project.
- Experience with any of the following applications: MS Project, Smartsheet, ServiceNow, Jira, or Rally.
Responsibilities
- Lead consulting projects, programs, and workstreams related to payer systems and applications, including implementations, migrations, modernizations, and optimizations.
- Translate business objectives into actionable plans and partner with technology teams to support successful execution.
- Bridge business stakeholders and technical teams to ensure business requirements, operational goals, and client objectives are understood and achieved.
- Advise clients on operational, process, and technology-related decisions that support business outcomes and organizational transformation.
- Use enterprise-approved AI tools to streamline workflows, automate tasks, and drive continuous improvement.
- Evaluate emerging AI and technology trends to inform business strategies, solution design, and innovation opportunities.
- Develop and manage engagement plans, work breakdown structures, governance materials, delivery tools, budget tracking, and forecasting activities.
- Plan, orchestrate, and facilitate client meetings, including requirements discovery sessions, business workshops, solutioning discussions, and workstream reviews.
- Apply critical thinking, business acumen, and consulting methodologies to diagnose client challenges, identify root causes, and develop practical solution options.
- Partner with technology teams to evaluate system capabilities and implementation approaches while remaining accountable for business outcomes.
- Document recommendations and solution options in executive-ready formats that support informed decision-making.
- Build consensus among client executives, business leaders, operational stakeholders, and technology partners.
- Establish effective communication cadences and serve as a trusted advisor throughout the engagement lifecycle.
- Manage challenging situations professionally while driving alignment across stakeholder groups.
- Contribute to practice innovation through service offerings, playbook development, thought leadership, process improvements, mentoring, and business development activities.
- Achieve annual performance objectives related to utilization, client satisfaction, innovation, delivery excellence, and operational goals.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
