Associate Vice President Payment Integrity Go To Market – Remote

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 Assistant Vice President, Payment Integrity Go To Market serves as a senior subject matter expert within the Optum Go To Market organization. This role partners with market, growth, product, and executive teams to drive growth, renewals, and successful commercialization of Optum’s Payment Integrity services and software portfolio. The position requires a strategic, client facing leader who can manage complex initiatives, influence stakeholders, and translate payment integrity expertise into compelling, value driven solutions. This role also provides leadership bench strength with potential to lead other SMEs or grow into broader leadership responsibilities.

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:

• Serve as a Payment Integrity subject matter expert supporting growth, renewal, and strategic initiatives across markets
• Collaborate with internal market, growth, product, and external partners to develop and execute go to market strategies
• Develop and present client specific solutions, guiding stakeholders through the contract lifecycle
• Ensure proposals include the appropriate solution mix, pricing strategy, and value narrative
• Drive execution of new sales opportunities, including pricing models, RFP responses, renewals, and complex vendor or tri party agreements
• Support product launches by identifying target customers, refining positioning, and training teams on new go to market approaches
• Provide voice of customer insights to inform product strategy and solution enhancements
• Lead and manage multi year strategic programs and initiatives within a matrixed organization
• Apply advanced analytical and quantitative methods to address complex client challenges across multiple lines of business
• Provide insight into savings targets, financial forecasting, and medical and administrative cost reduction opportunities
• Work directly with clients to define project requirements and support Optum business partners with integration questions
• Develop and maintain documentation related to processes, procedures, and client or system tracking
• Build and maintain strong relationships with key stakeholders before and after implementation
• Influence and negotiate effectively through strong executive level communication skills
• Ensure contracts are reviewed and structured in the best interest of the business

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:

• 10+ years of experience with a health plan in facility contract configuration, claims operations, or IT
• 10+ years of experience understanding healthcare regulations and compliance requirements
• 10+ years of experience documenting client operational and technical workflows
• 10+ years of experience in financial analysis and cost saving initiatives
• 10+ years of claims system experience (e.g., Facets, QNXT, HealthEdge, Epic Tapestry, 3M, RAM HealthSuite)
• 7+ years of payment integrity program management experience
• 7+ years of Payment Integrity system or service experience (e.g., Cotiviti, Zelis, HealthEdge Source, Machinify)
• 7+ years of experience with facility and professional reimbursement methodologies (e.g., DRG, APC, OCE, ESRD, CAH, CMG, RUG, RBRVS)
• Willing to travel up to 25%
• Excellent verbal and written communication skills with the ability to influence and negotiate

Preferred Qualifications:

• Advanced degree (MBA, MHA)
• 10+ years of payment integrity program management experience
• Experience supporting executive initiatives and leading large scale strategic programs
• Experience facilitating policy related discussions with senior decision makers
• Account management and project management experience
• Proven ability to lead cross functional teams in complex, matrixed environments
• Knowledge of emerging trends and technologies in healthcare payment integrity

*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 $159,300 to $273,200 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.