Note: The job is a remote job and is open to candidates in USA. Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The Advisory Manager, Payer Operations leads healthcare payer consulting engagements focused on payment integrity and payer operations, managing teams and projects while translating analysis and stakeholder feedback into client-ready recommendations. The role requires expertise in healthcare management consulting, claims operations, operational performance, and financial value realization.
Responsibilities
- The Advisory Manager, Payer Operations - Remote leads healthcare payer consulting engagements focused on payment integrity and payer operations
- This role is accountable for leading teams, managing work through direct and indirect reports, delivering projects on time, and translating analysis and stakeholder feedback into clear, client-ready recommendations that demonstrate measurable business value
Skills
- • 5+ years of relevant healthcare experience, including health plan operations or healthcare management consulting
- • 3+ years of healthcare management consulting experience serving payer clients
- • 3+ years of experience with payment integrity and payer operations, including claims processes, operational controls, performance drivers, and financial impacts
- • 3+ years of experience leading teams and managing work through direct and indirect reporting relationships in a matrixed environment
- • 3+ years of project management experience, including scope, work plans, milestones, dependencies, risks, and on-time delivery
- • 3+ years of experience creating and delivering client-facing presentations for senior leaders and executive audiences
- • 3+ years of experience soliciting, synthesizing, and acting on direct client and leadership feedback)
- • 3+ years of experience developing business cases and cost-benefit analyses and articulating the financial and operational value of recommendations
- • Ability to travel up to 50%
- • Experience applying process improvement or implementation methodologies, such as Lean, Six Sigma, or Agile
- • Experience supporting payment integrity transformation, audit, recovery, prevention, or operational optimization initiatives
- • Written, verbal, facilitation, relationship-management, and executive communication skills
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Flexibility to work remotely from anywhere within the U.S.
- Career development opportunities
Company Overview
Company H1B Sponsorship