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 Senior Analyst, Payer Performance will play a critical role in proactively managing and identifying remediation and growth opportunities to improve the payer portfolio, influencing strategies and developing data-centric reporting. This position requires collaboration with cross-functional partners and the ability to navigate diverse environments to achieve value-based care growth.
Responsibilities
- Influence payer strategies in a fast-paced, performance-focused environment
- Provide quantitative and qualitative interpretation of payer performance to help advance Optum Health goals
- Partner to develop and create data centric tracking and reporting on key organizational priorities
- Foster relationships with cross-functional partners to solve critical business initiatives
- Proactively identify problems and develop recommended solutions
- Develop a data-driven, proactive approach for ongoing assessment of Optum Health's payer performance
- Evaluate financial impact of payer negotiations, terminations, regulatory changes, or other OH strategic shifts
- Assist in source of truth tracking for active payer negotiations and/or terminations
- Support partnership with Finance and Healthcare Economics to ensure consistent modeling, measurement, and reporting (i.e., scenario modeling and $ impacts, budget vs. actuals, etc.)
- Enhance reporting to improve ability to understand, measure and compare payer performance
- Anticipate leadership needs; proactively source / package data to inform OH POV and strategic decisions
- Support ongoing executive leadership updates and ad-hoc requests
- Key contributor to Medicare Advantage Annual Enrollment Period (AEP) reporting & impact analysis
- Research and inform strategic recommendations around value-based care product positioning
Skills
- 3+ years of relevant experience in healthcare operations, strategy, growth, or consulting roles
- Demonstrated problem solving, analysis, and resolution at strategic and functional levels
- Experience building financial models and translating data into actionable business insights
- Proven critical thinking skills with experience managing multiple priorities and resolving data inconsistencies
- Demonstrated ownership, accountability, and readiness to take on increasing level of responsibilities
- Ability to be a self-starter with comfort navigating ambiguous situations and problems
- Financial acumen and ability to analyze financial, clinical and/or operational data
- Proven solid Excel skills with ability to build models and analyses to assess business impact
- Ability to convey findings in a cohesive story, including summarizing insights
- Experience building PowerPoint presentations
- Ability to present comfortably to project team and various stakeholders
- Demonstrated solution-oriented thinking in analyzing problems and engaging with teammates
- Ability to effectively manage multiple competing priorities amid a rapidly changing business environment
- Proven foundational understanding of payer and provider relationships in the healthcare industry, value-based care products and/or the Medicare Advantage landscape
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
- A comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
- Flexibility to work remotely from anywhere within the U.S.
- 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.
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Company Overview
Optum provides primary care and optical care services. It was founded in 1985, and is headquartered in Albuquerque, New Mexico, USA, with a workforce of 10001+ employees. Its website is https://nm.optum.com.