Payer Solutions Implementation Consultant - Remote
About the role
with paragraphs summarizing. - Responsibilities: There's a "Primary Responsibilities" section with bullet points (though not bullet list but paragraphs). We need to extract duties and put in- . The content includes many responsibilities: Solution Consulting & Payer Advisory, Implementation Leadership & Delivery Execution, Cross Functional Collaboration, Operational Excellence & Continuous Improvement. We'll need to list each bullet as li.
- Requirements: There's "Required Qualifications" and maybe "Preferred Qualifications". The instructions: Use
for section headings like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide what goes where. Usually "Required Qualifications" could be under Requirements or Qualifications. The instruction says we can have sections Requirements, Qualifications, Skills. We need to map content accordingly. We have: Required Qualifications: - 4+ years of Payer / Healthcare Domain Expertise (Core Requirement) - Experience with clearinghouse, network connectivity, or revenue cycle ecosystems - Medical payer operations (claims, eligibility, remittance, enrollment, etc.) - Exposure to regulatory/compliance environments - Hands-on understanding of payer environments solidly preferred - 3+ years of Implementation / Delivery Leadership - Leading or co-leading end-to-end implementations - Managing scope, milestones, dependencies, and risk - Cross-functional coordination across Product, Engineering, Ops - Experience reducing cycle time, rework, and post-go-live issues - 2+ years of Solution Consulting / Client-Facing Experience - Pre-sales support, solution design, and client advisory - Translating business needs into scalable solutions - Executive-level communication and stakeholder influence - Ability to travel up to 25% when required Preferred Qualifications: - 1+ years of Technical / Platform / API Exposure - Familiarity with APIs (claims, eligibility, prior auth, attachments) - Understanding of system integrations, data exchange, or platform-based solutions - Experience working with engineering/product teams on solution delivery - All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Also there is a Pay section: "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable." Also schedule: "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." Thus we have schedule info. Benefits: "In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives." We need to include Benefits section only if posting has real specific content. It does mention comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. That's specific enough. Pay: we have salary range $91,700 - $163,700 annually. That's specific. Schedule: remote flexibility, plus office requirement for certain locations. That's specific. Skills: There's a "Key Competencies & Skills" section with subcategories: Domain Expertise, Consultative & Communication Skills, Delivery & Execution Strength. Also there is "Success Measures" and "Ideal Candidate Profile". We could put skills under Skills section. But we also have Requirements and Qualifications sections. We need to decide mapping. The instruction: Use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have separate sections for Requirements, Qualifications, Skills. Likely: - Requirements: maybe the mandatory qualifications (Required Qualifications). - Qualifications: maybe the preferred qualifications? Or we could combine but they said prefer few substantive sections over many thin ones. However we have both required and preferred qualifications; we could put both under Qualifications, but then we lose distinction. But we could put Required Qualifications under Requirements, Preferred under Qualifications. That seems reasonable. Skills: Could be the Key Competencies & Skills (Domain Expertise, Consultative & Communication Skills, Delivery & Execution Strength). Also maybe Success Measures? But Success Measures is more about outcomes; maybe we could include under Skills or separate? The instruction says include a section ONLY when posting has real, specific content for it. Success Measures is present: "Success In This Role Is Measured By ..." That's specific. Could be a section but not in the list of allowed headings; the list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. No "Success Measures". So we should incorporate that content into appropriate sections, maybe under Responsibilities or Skills. Probably under Skills as part of performance expectations. But we can also incorporate into Responsibilities as part of expectations. However we already have Responsibilities covering duties. Success Measures could be placed under a separate section but not allowed; we could incorporate into Skills or Responsibilities. I'd put it under Skills as "Success Measures" bullet. Ideal Candidate Profile: also could be under Qualifications or Skills. Might be redundant. We need to preserve ALL substantive information; do not invent or summarize away detail. So we need to keep all details from the posting, but we can rephrase into HTML elements (p, ul/li). Must not lose any detail. Thus we need to capture: - About the role: first paragraph(s) up to "Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together." plus the description of role: "With a focus on Optum Payer Implementations, the Payer Solutions Implementation Consultant is a hybrid, client facing role that bridges payer solutioning, implementation execution, and operational delivery at scale. This role serves as a trusted advisor to payer clients, ensuring Optum solutions are designed with deep payer domain expertise and delivered in a way that supports repeatable, multi payer operational outcomes. The role requires a solid understanding of medical payer operations-including claims, eligibility, remittance, attachments, enrollment, network connectivity, regulatory requirements, and revenue integrity - within a multi payer ecosystem. The consultant plays a critical role in ensuring payer commitments translate into standardized, scalable, and supportable implementations that strengthen Optum's multi payer value proposition. This role acts as a key integrator across Sales, Product, Engineering, Implementation, and Operations, aligning payer requirements to Optum platform capabilities and delivery standards to drive consistent execution, reduced risk, and faster time to value across multiple payer clients. Leading discovery discussions to identify payer problems, operational pain points, and strategic objectives, translating them into clear solution hypotheses aligned to Optum's broader portfolio." We should keep that as prose in
tags. - Responsibilities: The bullet points under "Primary Responsibilities" and subheadings: Solution Consulting & Payer Advisory, Implementation Leadership & Delivery Execution, Cross Functional Collaboration, Operational Excellence & Continuous Improvement. We need to extract each duty as list items. The content includes many sentences; we can break them into logical items. We must not lose any detail. So we need to include each bullet point as a list item, preserving the text. Let's extract: Solution Consulting & Payer Advisory: - Act as a payer subject matter expert, deeply understanding payer business models, operational workflows, regulatory constraints, and market pressures - Serve as a key pre sales partner to Sales and Growth teams, engaging early in the sales lifecycle to help lead client conversations, solution positioning, and deal strategy: - Understand payer objectives and pain points - Shape solution designs that align to payer operational realities - Ensure proposed solutions are implementable, scalable, and supportable - Translate payer requirements into clear solution architectures, implementation approaches, and delivery plans - Establish and reinforce solutioning standards to ensure proposed offerings are: * Aligned to Optum platform capabilities * Operationally feasible and scalable * Consistent across payer clients and markets - Provide consultative guidance on: * APIs include but are not limited to Claim Submission, Eligibility and Benefits, Prior Authorization, COB, attachments, Clearinghouse Connectivity, etc * Operational readiness, sequencing, and risk considerations - Serve as a trusted advisor to payer stakeholders, balancing client needs with product and platform capabilities Implementation Leadership & Delivery Execution: - Own or co own the end to end implementation lifecycle for payer solutions, from kickoff through go live and transition to support - Lead complex payer implementations by: - Defining scope, milestones, dependencies, and success criteria - Driving requirements clarity and design validation - Anticipating and mitigating operational, technical, and regulatory risks - Partner closely with implementation, engineering, product teams to ensure alignment and execution discipline - Proactively manage implementation risks, issues, and dependencies across multiple teams - Ensure solutions are delivered in a way that supports long term operational stability, not just initial go live Cross Functional Collaboration: - Act as the single connective role across: - Sales & Growth - Product Management - Engineering & Architecture - Implementation & Onboarding - Support & Operations - Ensure payer requirements are accurately represented across internal teams and not lost between sales handoff and delivery - Provide feedback loops to Product and Engineering based on payer insights, implementation challenges, and emerging needs - Influence roadmap discussions by bringing real world payer perspectives into solution and platform decisions Operational Excellence & Continuous Improvement: - Identify recurring payer implementation challenges and drive improvements in: - Standardization - Tooling - Playbooks - Delivery assurance criteria - Help reduce friction, rework, and cycle time by improving upfront solution design and readiness - Contribute to the development of best practices, templates, and implementation standards for payer solutions - Support training and enablement of sales, implementation, and support teams on payer specific solutioning and delivery considerations We need to ensure we keep all details, including the nested bullet points. We can flatten them into list items, but we must preserve the content. Could use nested
- but instruction says use
- for any list of duties/requirements/benefits. It doesn't forbid nested lists. Safer to use flat list items each containing the full sentence(s). However nested details may be lost if we flatten. But we can keep the substance by including the sub-points as separate list items. That should preserve all details.
Thus we will create a
- with many
- items, each representing a distinct duty.
We must be careful not to lose any nuance like "Act as a payer subject matter expert, deeply understanding payer business models, operational workflows, regulatory constraints, and market pressures". That's fine.
Now Requirements: We'll put Required Qualifications items as list under
Requirements
. List them: - 4+ years of Payer / Healthcare Domain Expertise (Core Requirement) - Experience with clearinghouse, network connectivity, or revenue cycle ecosystems - Medical payer operations (
- items, each representing a distinct duty.
We must be careful not to lose any nuance like "Act as a payer subject matter expert, deeply understanding payer business models, operational workflows, regulatory constraints, and market pressures". That's fine.
Now Requirements: We'll put Required Qualifications items as list under
- for any list of duties/requirements/benefits. It doesn't forbid nested lists. Safer to use flat list items each containing the full sentence(s). However nested details may be lost if we flatten. But we can keep the substance by including the sub-points as separate list items. That should preserve all details.
Thus we will create a