Manager, Payer Advisory Services - Remote

UnitedHealth Group•Eden Prairie, MN

1d•$112,700 - $193,200•Remote

About The Position

Optum Insight is 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, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and 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. This Manager position is within Optum's AI-first consulting organization and sits on the business advisory and consulting side of the organization, rather than within a technology development or engineering function. In this role, you will serve as a trusted advisor to health plan clients, helping them define business needs, evaluate technology-enabled solutions, and lead large-scale transformation initiatives. You will work closely with client business leaders, operational stakeholders, product teams, and technology organizations to ensure solutions align with strategic objectives and deliver measurable business value. The ideal candidate brings a combination of healthcare payer operations expertise, consulting experience, stakeholder management skills, and familiarity with payer platforms and technologies. While this role requires an understanding of technology capabilities and system implementations, it is focused on business transformation, strategic advisory services, operational improvement, and client delivery leadership rather than software development, engineering, or technical architecture.

Requirements

5+ years of healthcare payer operations and / or technology experience in at least one payer domain, such as claims, enrollment / eligibility, billing, or provider
5+ years of external client-facing consulting experience
5+ years of experience leading at least two consulting engagements or workstreams requirements, features, user stories, test cases, technical specifications, or mapping documents
3+ years of experience creating process flow diagrams
3+ years of experience in PowerPoint and/or Viso
2+ years of experience working with at least one core administration system (ex: Facets, QNXT, HealthRules Payer or Tapestry)
Ability to work independently to create consulting deliverables, including project plans,
Willingness to travel domestically up to 25%25, depending on project requirements

Nice To Haves

Demonstrated experience using AI tools (e.g., Copilot, 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 application implementations or migration project
Experience with any / all of the following applications: MS Project, Smartsheet, Service Now, Jira, Rally
3+ years of experience working on at least one agile project as a Product Owner or in a comparable role

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 enable successful execution
Act as the bridge between business stakeholders and technical teams, ensuring business requirements, operational goals, and client objectives are clearly understood and achieved
Advise clients on operational, process, and technology-related decisions that drive 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 needed to execute high-quality client work
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 maintaining accountability 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 multiple 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