Advisory Manager, Payer Operations - Remote
$112.7k - $193.2kNHSHP
- Remote job
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Advisory Manager, Payer Operations - Remote This role leads healthcare payer consulting engagements focused on payment integrity and payer operations. This role is accountable for leading teams, managing work through direct and indirect reports, delivering projects on time, and translating analysis and stakeholder feedback into clear, client-ready recommendations that demonstrate measurable business value. Success in this role requires healthcare management consulting experience and demonstrated expertise in payment integrity and payer operations, including claims operations, operational performance, and financial value realization. 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. 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: 5+ years of relevant healthcare experience, including health plan operations or healthcare management consulting 3+ years of healthcare management consulting experience serving payer clients 3+ years of experience with payment integrity and payer operations, including claims processes, operational controls, performance drivers, and financial impacts 3+ years of experience leading teams and managing work through direct and indirect reporting relationships in a matrixed environment 3+ years of project management experience, including scope, work plans, milestones, dependencies, risks, and on-time delivery 3+ years of experience creating and delivering client-facing presentations for senior leaders and executive audiences 3+ years of experience soliciting, synthesizing, and acting on direct client and leadership feedback) 3+ years of experience developing business cases and cost-benefit analyses and articulating the financial and operational value of recommendations Ability to travel up to 50% Preferred Qualifications: Experience applying process improvement or implementation methodologies, such as Lean, Six Sigma, or Agile Experience supporting payment integrity transformation, audit, recovery, prevention, or operational optimization initiatives Written, verbal, facilitation, relationship-management, and executive communication skills *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: a comprehensive benefits package incentive and recognition programs equity stock purchase 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 $112,700 to $193,200 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. #J-18808-Ljbffr NHSHP
$112.7k - $193.2k
...as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.The Advisory Manager, Payer Operations - Remote leads healthcare payer consulting engagements focused on payment integrity and payer operations. This role is...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- UnitedHealth Group is seeking an Advisory Manager, Payer Operations to lead healthcare payer consulting engagements focused on payment integrity and... ...recommendations with measurable business value. Role offers remote work from anywhere in the U.S.; in Minneapolis or...Remote job
- UnitedHealth Group is seeking an Advisory Manager, Payer Operations to lead payer consulting engagements focused on payment integrity and payer operations. This remote role requires guiding teams, delivering on-time projects, and translating analyses into clear client-...Remote job
- Optum Advisory is seeking a Sr. Consultant (Payer Operations) to lead analytic workstreams and deliver client-ready content. The role emphasizes independent... ...delivery, problem solving, and knowledge management, with remote work flexibility across the U.S. Some...Remote jobWork at office
$134.6k - $230.8k
...between care providers and payers, and ultimately... ...while improving risk management, quality and revenue growth... ....The Director, Advisory Services has overall responsibility... ...flexibility to work remotely* from anywhere within... ...(e.g., health plan operations, enterprise strategy,...Remote workMinimum wageFull timeWork experience placementLocal area- Spring Health is seeking a Program Manager to lead payer operations within Alma, a Spring Health Company. This remote, US-based role requires owning the end-to-end RCM lifecycle, coordinating credentialing, rostering, claims adjudication, and CX to ensure issues are resolved...Remote job
- UnitedHealth Group is seeking a Sr. Consultant (Payer Operations) for Optum Advisory—Remote to drive payer operations analyses, client-ready deliverables, and project leadership. You will independently manage workstreams, communicate with clients, and mentor junior staff...Remote jobWork at office
$112.7k - $193.2k
...alignment between care providers and payers, and ultimately consumers.... ...costs while improving risk management, quality and revenue growth.... ...together. The Manager, Advisory Services is the overall day-to... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote jobMinimum wageFull timeWork experience placementLocal area- Optum Advisory seeks a Director, Payer Technology to lead delivery of complex payer initiatives in a remote role across the United States. You will guide cross-functional teams, architect... ..., enrollment, billing, and utilization management. You will partner with clients and...Remote job
- UnitedHealth Group's Optum Insight unit seeks a Manager, Advisory Services to lead strategy engagements for payer clients. You will shape engagement approach, assign... ...deliver high impact solutions. This role offers remote work across the U.S.; in Minneapolis or Washington...Remote job
- UnitedHealth Group in the United States is seeking a Manager, Advisory Services to serve as the day-to-day engagement manager for payer strategy and transformation engagements. You... .... Domestic travel up to 50% is required; remote work is possible with in-office requirements...Remote workWork at office
- Company DescriptionProSidian is a Management and Operations Consulting Services Firm focusing on providing... ...DescriptionProSidian Seeks a Hanford Advisory Board Operations and Library... ...Address (Subject to Change or Working Remotely): 2440 Stevens Center Place, H520 Richland...Remote workFull timeContract workTemporary workFor contractorsFor subcontractorWork at officeFlexible hours
$91.7k - $163.7k
...alignment between care providers and payers, and ultimately consumers.... ...costs while improving risk management, quality and revenue growth.... ...together.The Sr. Consultant, Advisory Services is responsible for... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageFull timeWork experience placementLocal area$134.6k - $230.8k
...between care providers and payers, and ultimately consumers.... ...costs while improving risk management, quality and revenue growth... ...Director, Payer Technology Optum Advisory - Remote is a leader within the... ...across business, technology, operations, and executive...Remote workMinimum wageFull timeWork experience placementLocal area$91.7k - $163.7k
...Caring. Connecting. Growing together.The Sr. Consultant (Payer Operations) Optum Advisory - Remote works within an Optum Advisory delivery team and... ...engagement work products, project execution, and business management activities. This role structures and conducts analysis...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- ...Description Job Description Regional Manager of Operations FLSA Status: EEOC Classification... ...with the Medical and Operational Advisory Boards to improve upon those falling short... ...ENVIRONMENT This job operates in a remote work and Veterinary Hospital...Remote workWork at officeLocal area
- L&H CPAs · Advisors in Dallas, TX is seeking an operational leader to drive efficiency across accounting and advisory services. This is a full-time, remote role with standard hours 9:00 AM-6:00 PM. The position focuses on coordinating cross-functional workflows and ensuring...Remote jobFull time
$20 - $23.5 per hour
...Description Department / Entity: Operations — HIS Envoys Group, LLC Reports To: Operations and Advisory Specialist Location:... ...— In-Person, Hybrid, or Fully Remote, depending on candidate and business... ...have been entrusted to us to manage (1 Corinthians 4:2). At...Remote workHourly payPermanent employmentFull timeTemporary workWork at officeLocal areaFlexible hours- Allara, a leading women’s health platform, seeks a Payer Operations Lead to own complex enrollments, document SOPs, and coach the enrollment team. This role accelerates in-network access nationwide, ensuring fast, accurate payer submissions and strong payer relationships...Remote job
$134.6k - $230.8k
...between care providers and payers, and ultimately consumers... ...while improving risk management, quality and revenue growth... ...Connecting. Growing together. The Advisory Services Director (EDS) - Remote is a senior consulting... ...(e.g., ProSci)Direct operating-model design and redesign...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeMonday to ThursdayFlexible hours- Mass General Brigham is seeking an experienced professional to join the Payer Contracting group. The role focuses on optimizing data analyses for contract negotiation and government payer policy evaluation, with leadership responsibilities and cross-functional collaboration...Remote jobContract work
- Rehmann is seeking an Client Accounting and Advisory Operations Manager to lead advanced accounting and advisory engagements for a diverse client base. You will drive innovative solutions, supervise detailed accounting work, and foster cross-team collaboration to deliver...Remote job
- Legion Health is hiring an Insurance Directory Growth and Operations Lead to turn payer directories into a measurable patient‑acquisition channel.... ...and actionable listings across contracted payers. This is a remote, part‑time or full‑time 1099 engagement, 20-40 hours per...Remote jobFull timePart time
- Company DescriptionProSidian is a Management and Operations Consulting Services Firm focusing on providing... ...Falls, ID | Aiken, SC | Richland, WA (Remote) to support requirements for Energy &... ...Solutions for Nuclear Industry Advisory and Assistance (A&A) Services Support...Remote workFull timeWork at office
$111.79k - $207.61k
The PositionThe Program Operations Compliance Manager will play a critical role on the HCO team at Genentech... ..., corporate memberships), Advisory Boards, fair market value (FMV), and... ...based on-site in South San Francisco. A remote option is not available.Relocation benefits...Remote workFull timeWork experience placementWork at officeLocal areaRelocation package$95.9k - $143.85k
...size: 30px; font-weight: bold; width: 883px; left: 5px; height: 72px; padding-left: 17px; padding-top: 15px; } The Manager, Regulatory & Payer Operations Support provides leadership and oversight for the Regulatory & Payer Operations Specialist team. The role ensures...Work at officeImmediate startFlexible hours- ...soar.Connor Group is hiring remote professionals for this position... ...their existing accounting, operational, and industry experience. We... ...way of providing Accounting Advisory, Financial Operations, IPO, M... ...presentation skillsExperience managing teams and projectsBusiness consulting...Remote workFull time
- ...more than 160 countries.Role OverviewThe Senior Operations Manager leads the end‑to‑end operational lifecycle of remote care software, overseeing Tier 2 application... ...roadmaps and release cycles.Operate the Change Advisory Board (CAB) and ensure compliance with internal...Remote workPermanent employment
$124k - $250k
...Sr. Manager Operations Excellence (Remote) Join to apply for the Sr. Manager Operations Excellence (Remote) role at Collins Aerospace Sr. Manager Operations... ...Support Manager-Int Supply - Virtual/Remote Risk Advisory for Gov't Senior Associate (Grants Management) Risk...Remote workPermanent employmentFull timeContract workTemporary workWork experience placementWork from homeFlexible hours- ...Project Manager, OperationsProminence Health is a value-based care... ...Organizations, and commercial payer partnerships. Prominence... ...experience.The Project Manager, Operations at Prominence Health fulfills... ....This position can be hybrid/remote-flexible, however; candidate...Remote workWork at officeLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Advisory Manager, Payer Operations - Remote. Be the first to apply!
- strategy & operations manager Brooklyn, NY
- program operations manager Brooklyn, NY
- operations manager supervisor Brooklyn, NY
- web operations manager Brooklyn, NY
- managing director of operations Brooklyn, NY
- hvac operations manager Brooklyn, NY
- senior director of operations Brooklyn, NY
- network operations center manager Brooklyn, NY
- associate director clinical operations Brooklyn, NY
- landscape operations manager Brooklyn, NY


