Sr. Consultant - Payer Advisory Services - Remote

UnitedHealth Group•Eden Prairie, MN

1d•$91,700 - $163,700•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. Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work. The Sr. Consultant is a consultant and trusted advisor within Optum Advisory Services. 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.

Requirements

3+ years of healthcare Payer operations and / or technology experience in at least one of the following payer domains: claims, enrollment / eligibility, billing, provider
2+ years of external client-facing consulting experience
2+ years of experience documenting consulting deliverables (e.g., documenting requirements, writing features, user stories, test cases, technical specifications / mapping documents
2+ years of experience creating process flow diagrams
1+ years of experience working with at least one core administration system (ex: Facets, QNXT, Health Rules Payer, Tapestry)
1+ years of experience in managing a workstream
1+ years of experience with PowerPoint and/or Visio
Willingness to travel domestically, up to 25%25 depending on project requirements

Nice To Haves

Experience working on at least one agile project
Experience working on at least one end-to-end payer systems and application implementations or migration project
Hands-on experience working with Facets
Experience with any / all of the following applications: MS Project, Smartsheet, Service Now, Jira, Rally
Experience in a Product Owner role
Experience working on a cloud migration project
Experience using Microsoft Copilot, writing prompts, and creating agents

Responsibilities

As a trusted subject matter expert, the consultant will support projects for payer systems and applications by creating technical and business process designs, performing analysis, writing requirements, conducting workstream sessions, fostering healthy client relationships, and taking ownership of deliverables in a fast-paced environment
Use enterprise-approved AI tools to streamline workflows, automate tasks and drive continuous improvement.
Evaluate emerging trends to inform solution design and strategic innovation
Major contributor to team problem solving across full scope of project
Able to structure and drive team working sessions (e.g., problem solving, discovery) with assistance from delivery lead
Able to facilitate or participate in client discovery sessions to capture requirements and document process flows
Establish self as knowledgeable/credible on topics
Use process design and testing tools to support client work. (e.g., Jira, Rally, Visio, Miro)
Create documented deliverables that translate business needs to technical requirements Examples of deliverable include writing features, specifications, user stories related to payer value chain (e.g., claims, enrollment, provider, customer service, care management.)
Participate in agile project activities such as PI planning, grooming, sprint planning and prioritization
Lead or participate in various practice development projects
Proactively anticipate and communicate challenges and risks with recommendations to address issues
Work independently or as a team member to create high-quality deliverable documentation
Facilitate deliverable review sessions with clients to obtain input and approval
Communicates effectively and accurately in writing and verbally to prospects, members and other team members