Payer Analyst Jobs (NOW HIRING)

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.    

The Optum Health Enterprise Payer Team is responsible for owning, driving, and optimizing Optum Health's payer portfolio to achieve sustainable value-based care relationships. The Senior Analyst, Payer Performance will play a critical role in proactively managing and identifying remediation and growth opportunities to improve the payer portfolio. This individual will be expected to:

• 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

This individual will need to be able to function in a diverse environment with varying level stakeholders across internal and external stakeholder groups, abstract and fluid environments, and simultaneous deadlines. The position requires an ability to comprehend local markets' strategies while demonstrating awareness of broader systems across the enterprise, both strategically and tactically. Organizational agility will be required - building meaningful relationships and facilitating decision-making to continue achieving Optum Health's value-based care growth agenda.

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.

Primary Responsibilities: 

• 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

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: 

• 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

Preferred Qualifications: 

• 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.

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

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.