Lead payor contract lifecycle and analytics for commercial and government payors. Provide data-driven analyses for negotiations, build KPI dashboards, identify revenue opportunities, drive automation and process improvement, and manage a team of payor contracting analysts while maintaining SOPs, quality controls, and stakeholder alignment.
Requisition Number: 2368331
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.
Primary Responsibilities:
Required Qualifications:
Preferred Qualification:
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.
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.
Primary Responsibilities:
- Oversee end-to-end payor contract lifecycle support, including intake, analysis, amendments, renewals, and documentation management across commercial and government payors
- Support payor negotiations by preparing data-driven analyses (rate benchmarking, financial impact models, scenario modeling, underpayment analysis)
- Partner with U.S. contracting on alignment with standard contracting practices
- Lead payor performance analytics, including KPI development, dashboards, variance analysis, and executive-ready summaries
- Proactively identify revenue opportunities through contract interpretation, reimbursement trend analysis, and denial / underpayment insights
- Drive process improvement and automation initiatives across contract tracking, renewals, and performance reporting
- Leadership & People Management
- Build, manage, and mentor a high-performing team of payor contracting analysts
- Maintain standard operating procedures, quality controls, and training programs to ensure consistent, high-quality deliverables
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
- Proven experience producing executive-level analyses and insights to support contract negotiations and payor strategy
- Solid understanding of U.S. healthcare reimbursement models (fee-for-service, managed care, value-based arrangements)
- Proven advanced analytical, communication, and stakeholder management skills
Preferred Qualification:
- Experience supporting U.S. healthcare systems, payors, or managed care organizations from an offshore / global delivery model
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.
Optum Hyderabad, Telangana, IND Office
Hyderabad, India, India
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