Sr. Consultant - Payer Advisory Services - Remote
About The Position
The Sr. Consultant is a consultant and trusted advisor within Optum Advisory Services, supporting projects involving payer systems and applications. The role develops technical and business process designs, performs analysis, documents requirements, conducts workstream sessions, builds and maintains client relationships, and owns deliverables in a fast-paced environment. The consultant contributes to project problem solving, helps structure team working sessions, participates in client discovery, and creates documentation that translates business needs into technical requirements across payer domains such as claims, enrollment, provider, customer service, and care management. The consultant uses enterprise-approved AI tools to streamline workflows, automate tasks, and support continuous improvement, while evaluating emerging trends for solution design and innovation. The position may involve agile project activities, practice development work, client reviews and approvals, and the use of process design and testing tools. The role is remote for most U.S.-based hires; 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.
Requirements
- At least 3 years of healthcare payer operations and/or technology experience in one or more of these domains: claims, enrollment/eligibility, billing, or provider.
- At least 2 years of external client-facing consulting experience.
- At least 2 years of experience documenting consulting deliverables, such as requirements, features, user stories, test cases, technical specifications, or mapping documents.
- At least 2 years of experience creating process flow diagrams.
- At least 1 year of experience working with a core administration system, such as Facets, QNXT, Health Rules Payer, or Tapestry.
- At least 1 year of experience managing a workstream.
- At least 1 year of experience with PowerPoint and/or Visio.
- Willingness to travel domestically up to 25%, depending on project requirements.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
- Candidates must pass a drug test before beginning employment.
Nice To Haves
- Experience working on at least one agile project.
- Experience working on at least one end-to-end payer systems and applications implementation or migration project.
- Hands-on experience working with Facets.
- Experience with one or more of MS Project, Smartsheet, Service Now, Jira, or Rally.
- Experience in a Product Owner role.
- Experience working on a cloud migration project.
- Experience using Microsoft Copilot, writing prompts, and creating agents.
Responsibilities
- Support payer systems and applications projects by creating technical and business process designs, performing analysis, documenting requirements, conducting workstream sessions, and owning deliverables.
- Use enterprise-approved AI tools to streamline workflows, automate tasks, and drive continuous improvement.
- Evaluate emerging trends to inform solution design and strategic innovation.
- Contribute to team problem solving across the full scope of projects.
- Structure and drive team working sessions, such as problem-solving and discovery sessions, with assistance from the delivery lead.
- Facilitate or participate in client discovery sessions to capture requirements and document process flows.
- Develop credibility and subject-matter knowledge on relevant topics.
- Use process design and testing tools to support client work.
- Create deliverables translating business needs into technical requirements, including features, specifications, user stories, and related documentation for payer value-chain functions.
- Participate in agile project activities such as PI planning, grooming, sprint planning, and prioritization.
- Lead or participate in practice development projects.
- Anticipate and communicate challenges and risks, and recommend ways to address them.
- Create high-quality deliverable documentation independently or as a team member.
- Facilitate client deliverable review sessions to obtain input and approval.
- Communicate effectively and accurately in writing and verbally with prospects, members, and team members.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
