Advisory Manager, Payer Operations - Remote

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

About the role

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. 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.

Responsibilities

• Lead teams and manage work through direct and indirect reporting relationships in a matrixed environment
• Deliver projects on time, including scope, work plans, milestones, dependencies, risks, and on-time delivery
• Create and deliver client-facing presentations for senior leaders and executive audiences
• Solicit, synthesize, and act on direct client and leadership feedback
• Develop business cases and cost-benefit analyses and articulate the financial and operational value of recommendations
• Travel up to 50%

Requirements

• 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
• 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

Preferred Qualifications

• 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 (all benefits are subject to eligibility requirements)

Pay

The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.