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, helping millions of people live healthier lives through care, pharmacy benefits, data, and resources. The Associate Director will lead provider reimbursement analytics, network pricing strategy, financial forecasting, healthcare cost management, data transformation, and healthcare economics initiatives while partnering with executive, finance, actuarial, contracting, clinical, and technology teams.
Responsibilities
- Develop and lead enterprise network pricing and reimbursement analytics strategies aligned with organizational and financial objectives
- Partner with executive leadership to establish provider reimbursement strategies, pricing targets, and healthcare cost management initiatives
- Drive strategic decision making through advanced analytics, market intelligence, and financial performance reporting
- Provide thought leadership regarding provider market dynamics, reimbursement benchmarks, and network optimization opportunities
- Oversee provider reimbursement methodologies, pricing models, contract analytics, and financial forecasting activities
- Lead financial impact assessments supporting provider negotiations and network contracting initiatives
- Analyze reimbursement trends and convert findings into actionable forecasting insights for business leaders
- Work closely with Optum Health Network, provider contracting teams, and clinical partners to monitor financial performance and identify opportunities for improved outcomes
- Support California market provider network strategies, including IPA and value-based care arrangements
- Advise market leaders on reimbursement structures, network performance, and provider relationship strategies
- Evaluate healthcare cost trends and develop recommendations that balance affordability, provider engagement, and network growth
- Collaborate with risk strategy, growth, and finance teams to support enterprise healthcare economics initiatives
- Lead teams responsible for healthcare data management, coding, dashboard development, and advanced reporting solutions
- Oversee modernization efforts related to business intelligence, reporting automation, and analytical infrastructure
- Partner with technology teams during ongoing claims and data platform migrations resulting from multiple organizational acquisitions
- Ensure analytical tools and data assets are scalable, accurate, and aligned with business needs
- Lead, mentor, and develop high-performing healthcare economics and analytics professionals
- Foster collaboration across a broad network of internal stakeholders, including finance, accounting, clinical leadership, provider contracting, and executive teams
- Create a culture of continuous improvement, accountability, and innovation
Skills
- Bachelor's degree in finance, Economics, Healthcare Administration, Data Analytics, Business, Statistics, or related field
- 5+ years of leadership experience managing analytical, pricing, or healthcare finance teams
- Experience leading enterprise analytical initiatives, reporting modernization, or automation programs
- Deep expertise in healthcare reimbursement methodologies, provider contracting, claims analytics, and network pricing strategies
- Advanced proficiency in SQL, business intelligence tools, financial modeling, and large-scale healthcare data environments
- Demonstrated ability to influence strategic business decisions and executive-level initiatives
- Demonstrated solid leadership, communication, organizational, and stakeholder management skills
- Proven ability to manage multiple large-scale initiatives in a fast-paced environment
- 7+ years of post-high school education or equivalent
- 5+ years of leadership experience managing healthcare analytics, pricing, reimbursement, or healthcare finance teams
- 5+ years of experience in managed care analytics
- 5+ years of experience supporting provider reimbursement strategy, network pricing, or provider contract analytics
- Experience developing financial models and working with large-scale healthcare datasets
- Demonstrated experience influencing executive-level business decisions
- Deep understanding of healthcare reimbursement methodologies, provider contracting, claims analytics, and network pricing models
- Advanced proficiency with SQL and business intelligence/reporting tools
- Demonstrated solid communication, stakeholder management, and leadership skills
Benefits
- You'll enjoy the flexibility to work remotely from anywhere within the U.S.
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Career development opportunities
Company Overview
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