Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while
Caring. Connecting. Growing together.Currently, the role supports Coding Advisor, with a defined roadmap to integrate responsibilities across both CA and Provider Education. This future-state role will:
- Serve as the central point of ownership for savings logic across CA and PE
- Align methodologies between Optum Advisory Services and BAR
- Provide transparency and consistency to internal and external stakeholders
- Enable scalability as the two products converge
- This is not a transactional role-it is a high-impact, client-facing, analytically driven function that directly influences revenue realization, client trust, and program credibility
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: The scope of this role spans both tactical execution and strategic alignment:
- Ad-hoc Issue Intake & Resolution
- Support Professional and Facility Provider Education programs for both Coding Advisor and UHC PE, addressing data, reporting, and logic-related issues
- Savings Logic Ownership & Governance
- Act as the liaison between Optum Advisory Services (logic approval authority) and BAR, ensuring alignment with CA/PE operational leadership
- Internal Stakeholder Alignment
- Translate and explain savings logic to internal matrix partners to ensure consistent understanding and alignment on performance metrics
- Client-Facing Support
- Communicate savings methodology, identification logic, and program performance to external clients, including Coding, Finance, and Audit leadership
- Analytics & Reporting Innovation
- Ideate and support development of dashboards and reporting solutions to enhance visibility into PE performance across stakeholders
- Clinical Module Development
- Partner with PE Operations and BAR development resources to:
- Intake new coding modules
- Perform savings estimation
- Operationalize logic within the analytics library
- Operational Analytics Support
- Execute ad-hoc scripts supporting Coding Advisor invoicing
- Produce and deliver Actual and Forecasted Savings to: Commercial Consolidated Savings File and UHC PIPR reporting
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: - 2+ years of experience in healthcare medical claims
- 1+ years of Microsoft SQL Server Management Studio, or similar experience
- 2+ years of Microsoft Excel, Tableau, or similar data visualization tools
- 2+ years of Alteryx or similar ETL/Transformation Tools
Preferred Qualifications:- Experience with Amazon Redshift
- 2+ years of Microsoft SQL Coding experience writing queries, creating schemas/maintaining tables or similar experience
*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.
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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
