Sr Consultant (Payer Operations) Optum Advisory - Remote at UnitedHealth Group in Eden Prairie, MN

Job description

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. The Sr. Consultant (Payer Operations) Optum Advisory - Remote works within an Optum Advisory delivery team and serves a key role in contributing to engagement work products, project execution, and business management activities. This role structures and conducts analysis, creates client-ready content for assigned workstreams, and contributes to problem solving across the full scope of each project. Success in this role requires healthcare payer operations experience, solid analytical and financial problem-solving skills, and the ability to independently manage assigned workstreams while supporting junior team members. The role will lead client communications related to assigned workstreams, proactively identify risks and issues, and make sound recommendations to improve project delivery and client outcomes. Role emphasis: Independent workstream delivery, analytics, client-ready deliverables, team problem solving, knowledge management, and emerging consulting leadership. 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. Primary Responsibilities: Client Engagement Delivery and Workstream Leadership: Structure the approach and analysis for assigned workstreams largely independently, with guidance from the Project Manager or engagement leadership as needed Develop and deliver client-ready work products, including analyses, process documentation, current-state and future-state materials, issue summaries, recommendations, and presentation content Lead client communications related to assigned workstreams and, at times, support communications for work performed by more junior team members Establish timelines for assigned workstream activities and assist junior team members with timelines, deliverables, and follow-through in accordance with overall project requirements Serve as a major contributor to team problem solving across the full project scope, including structuring and facilitating problem-solving sessions with support from the Project Manager Proactively anticipate challenges, dependencies, and risks within assigned areas and make practical adjustments or recommendations to address issues May serve as project lead for smaller, more templated engagements or work in familiar payer operations terrain Communicate effectively and accurately in writing and verbally with clients, prospects, team members, and practice leaders Payer Operations and Analytical Contribution: Apply payer operations knowledge across domains such as claims operations, payment integrity, provider operations, member and provider services, appeals and grievances, compliance, operational reporting, and performance management Conduct data analysis and financial analysis to identify issues, root causes, business impacts, and practical solution options Translate analysis, stakeholder input, and project findings into clear insights and actionable recommendations Build credibility as a knowledgeable contributor on payer operations topics and maintain a foundational understanding of healthcare industry dynamics Maintain awareness of Optum data sets, tools, research, assets, and methods used by the practice to support client delivery Practice Development and Team Contribution: Lead or participate in practice development projec