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 Manager, Market Advocacy serves as a Market Operations Liaison (MOL), acting as the strategic link between market leadership, external providers, and enterprise shared services to drive operational excellence, resolve complex issues, and improve provider and customer experiences. This senior individual contributor leads cross-functional efforts to identify risks, manage escalations, influence enterprise partners, and implement solutions that support market priorities and business outcomes.
The role requires a strong understanding of claims processing, eligibility, provider operations, and shared service functions to effectively identify operational risks, influence resolution strategies, and advocate for market needs. You'll enjoy the flexibility to work remotely * from anywhere within the U. S. as you take on some tough challenges.
Primary
Serve as the primary MOL and advocate for market and provider operational needs across enterprise partners Lead complex operational issues through identification, escalation, root cause analysis, resolution, and stabilization Apply claims processing knowledge to identify trends, assess provider and member impacts, and partner with shared services on timely, sustainable solutions Facilitate governance forums, operational reviews, and performance discussions to drive accountability and transparency Analyze operational data, identify risks and service gaps, and recommend solutions that improve performance and stakeholder satisfaction Build trusted relationships with market leaders, external providers, provider groups, and cross-functional partners Meet with external providers and provider groups, as needed, to address operational concerns, provide education, gather feedback, and support resolution of escalated issues Lead or support strategic initiatives, process improvements, and implementations affecting market operations Prepare concise executive communications, recommendations, and decision-support materials for leadership 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
5+ years of experience in healthcare, payer, provider, claims, market operations, or a related field Experience leading complex cross-functional work and influencing outcomes in a matrixed organization without direct authority Demonstrated knowledge of claims processing workflows, issue resolution, and impacts to provider and member experience Solid analytical, relationship management, communication, presentation, and problem-solving skills
Experience engaging with external provider organizations and leadership audiences Critical Competencies: Market Advocacy & Influence End-to-End Issue Management Operational Performance & Governance Claims Processing Knowledge Client & Provider Relationship Management Process Improvement & Change Enablement Strategic Communication Problem Solving & Decision Making Organizational Agility & Executive Presence *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 $91,700 - $163,700 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.