Senior Consultant - 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 Advisory Services, Sr. Consultant serves healthcare clients, focusing provider network operations. This client-facing role is hands-on, managing workstreams from analysis through execution while collaborating closely with resources from other workgroups.

The Senior Consultant plays a critical role in delivering measurable results across areas such as contract implementation, requirements gathering, network adequacy analysis, and process improvement. The position also supports internal initiatives, peer knowledge sharing, and continuous improvement of consulting methodologies.

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:

• Monitor and oversee performance on standards designed to ensure network access to covered health services as required by NCQA and/or CMS
• Coordinating and executing the implementation of health plan agreements within the required platforms/systems
• Requirements gathering and process documentation for external clients
• Managing internal and external resources to ensure timelines are met and documentation is completed accurately
• Respond to client requests and manage deliverables for provider network managed services engagements, ensuring timely execution and high service quality in alignment with contractual obligations
• Contribute to refining internal tools, frameworks, and consulting methodologies based on field experience and client feedback
• Participate in peer knowledge sharing, case study development, and lessons-learned sessions to strengthen team capabilities
• Assist with internal strategic projects, thought leadership, and operational improvement efforts

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:

• Experience with network adequacy analysis utilizing Quest Analytics (Desktop or Cloud version acceptable)
• Experience developing process maps within Microsoft Visio
• Understanding of network infrastructure, routing protocols, and the ability to work with various departments
• Proven communication and collaboration with client and internal stakeholders across various departments to ensure all elements of the provider agreement are executed accurately
• Proven to maintain accurate and updated documentation of the implementation process and outcome of executed agreement(s)

Preferred Qualifications:

• Client management experience
• Demonstrated ability to support multiple projects and workstreams simultaneously

*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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.