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[Remote] Senior Analyst, Payer Performance - Remote

Work from home Full-time role Hiring

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.
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