Optum Utilization Review Jobs in Minnesota (NOW HIRING)

This position follows a hybrid schedule with a minimum of (4) In-office days per week. Our office is located at 1 Optum Circle, Eden Prairie, MN.

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Optum Health is a clinician-led, value-based care organization focused on improving patient outcomes, advancing care delivery, and simplifying the health care experience. We partner with physicians, health systems, employers, and communities to design innovative solutions that improve quality, affordability, and access to care.

As a finance professional, you will support decision making, support standardized pricing and modeling approaches, contribute to contract remediation and performance improvement efforts, and partner with payer and provider stakeholders to help manage performance across Optum Health.

The Financial Consultant, Optum Health National supports financial analysis, reporting, and decision support for Optum Health. This role helps evaluate performance, pricing, payment constructs, and forward-year economics to support improved margin performance, reduced loss exposure, and timely payer and provider decision-making.

This position is full time. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm.

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:

• Support and develop financial reporting and analysis for Optum Health performance, including revenue, medical cost, margin, and key business drivers
• Partner with finance, accounting, actuarial, operations, and market stakeholders to gather inputs, validate assumptions, and support timely Optum Health National decision-making
• Support the maturation of the value-based care strategy and analytics operating model by enabling scalable planning, reporting, and decision-support capabilities
• Assist with value-based care benefit planning and multi-year forecasting in support of plan, forecast, and earnings cycles, including alignment to external margin commitments
• Support value-based care pricing, contract, and performance analysis by organizing data, reviewing assumptions, and identifying potential financial impacts
• Help track performance against over $2B of value-based care remediation initiatives, including status updates, issue identification, and follow-up with cross-functional partners
• Contribute to process improvements that strengthen planning, reporting, and decision-support capabilities across the team
• Develop, maintain, and enhance standardized financial reporting, KPI dashboards, and executive-ready reporting packages that consolidate market-level financial and operational performance across Care Delivery markets for senior leadership
• Identify opportunities to improve reporting efficiency through automation, process redesign, and utilization of enterprise tools
• Support ad hoc financial analyses and special projects for national finance leadership

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Bachelor's Degree (or higher) in Finance, Accounting, Economics, OR a related field
• 2+ years of financial and / or accounting experience, including financial planning, forecasting, reporting, or business analysis
• Experience with developing, maintaining, and explaining financial reports, forecasts, budgets, and variance analyses
• Experience with working cross-functionally across teams to support financial planning, performance management, and operational initiatives
• Experience with analyzing business and financial metrics, identifying trends, and communicating findings and recommendations to management
• Proficiency with Microsoft Excel and Microsoft PowerPoint, including the ability to organize data, build analyses, and prepare leadership-ready materials
• Written and verbal communication skills, with the ability to translate financial information into clear business insights
• Ability to manage competing priorities, meet deadlines, and adapt to changing business needs in a fast-paced environment
• Ability to work any of our full time, shift schedules during our normal business hours of 8:00 am - 5:00 pm

Preferred Qualifications:

• MBA, CPA, or progress toward an advanced degree or certification
• UnitedHealth Group or Optum experience
• Healthcare finance, value-based care, payer-provider contracting, or Medicare Advantage experience
• Experience with Hyperion Essbase or other financial reporting and data analysis tools
• Experience with supporting budget planning, forecast cycles, executive reporting, or financial performance improvement initiatives
• Curiosity and experience with using modern tools such as AI, Power BI, or automation solutions to improve workflows, create efficiencies, and continuously enhance business processes

Telecommuting Requirements:

• Reside within commutable distance to the office at 1 Optum Circle, Eden Prairie, MN
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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