Senior Consultant, Payer Performance - Remote

UnitedHealth Group•Eden Prairie, MN

18h•$91,700 - $163,700•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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Optum Health Enterprise Payer Team is responsible for owning, driving, and optimizing Optum Health’s payer portfolio to achieve sustainable value-based care relationships. The Senior Consultant, Payer Performance will play a critical role in proactively managing and identifying remediation and growth opportunities to improve the payer portfolio. This individual will be expected to: Influence payer strategies in a fast-paced, performance-focused environment Provide quantitative and qualitative interpretation of payer performance to help advance Optum Health goals Partner to develop and create data centric tracking and reporting on key organizational priorities Foster relationships with cross-functional partners to solve critical business initiatives Proactively identify problems and develop recommended solutions This individual will need to be able to function in a diverse environment with senior level stakeholders across internal and external stakeholder groups, abstract and fluid environments, and simultaneous deadlines. The position requires an ability to comprehend local markets’ strategies while demonstrating awareness of broader systems across the enterprise, both strategically and tactically. Organizational agility will be required – building meaningful relationships and facilitating decision-making to continue achieving Optum Health’s value-based care growth agenda. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

Ability to convey findings in a cohesive story, including summarizing insights
Experience working with all levels of management across multiple functions and business partners
Proven record of managing competing priorities and a rapidly changing business environment
Ability to anticipate and make recommendations that resolve key operational or functional gaps
Passion for collaborating with external and internal constituents, gaining consensus/support, and managing stakeholder input/approval
Bachelor’s degree in Business Administration, Analytics, Finance or a related field
5+ years of relevant experience in healthcare operations, strategy, growth, or consulting roles
Experience building financial models and translating data into actionable business insights
Demonstrated problem solving, analysis, and resolution at strategic and functional levels
Proven critical thinking skills with experience managing multiple priorities and resolving data inconsistencies
Demonstrated ownership, accountability, and readiness to take on leadership responsibilities
Self-starter with comfort navigating ambiguous situations and problems

Nice To Haves

Experience and understanding of value-based care and different risk constructs
Solid understanding of payer and provider relationships in the healthcare industry
Understanding of Medicare Advantage and/or Medicare Original Products
Solid financial acumen and ability to analyze financial, clinical and/or operational data
Solid Excel skills with financial & return on investment modeling

Responsibilities

Develop a data-driven, proactive approach for ongoing assessment of Optum Health’s payer performance
Evaluate financial impact of payer negotiations, terminations, regulatory changes, or other OH strategic shifts
Own source of truth tracking for active payer negotiations and/or terminations
Partner with Finance and Healthcare Economics to ensure consistent modeling, measurement, and reporting (i.e., scenario modeling and $ impacts, budget vs. actuals, etc.)
Enhance reporting to improve ability to understand, measure and compare payer performance
Anticipate leadership needs; proactively source / package data to inform OH POV and strategic decisions
Support ongoing executive leadership updates and ad-hoc requests
Key contributor to Medicare Advantage Annual Enrollment Period (AEP) reporting & impact analysis
Research and inform strategic recommendations around value-based care product positioning