Director, Payer Innovation and Strategy - Remote

Improve the lives of others while Caring. Connecting. Growing together.

Job Description
- Director, Payer Innovation and Strategy
- Remote (2386679)

Director, Payer Innovation and Strategy
- Remote - 2386679

Optum Insightis 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 deepexpertisein 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 to start Caring.

Connecting. Growing together.

The Optum AI Payer Strategy & Innovation team is dedicated to solving complex health plan challenges by designing, translating, and deploying innovative artificial intelligence solutions. In this role, you will act as a client-facing consulting leader, translating health plan business problems into executable AI engagements and managing day-to-day solution delivery. You will collaborate with cross-functional teams spanning data science, clinical operations, engineering, and enterprise leadership to move healthcare clients from problem definition through solution design, implementation, and measurable value realization.

You’llenjoy 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:

• Lead the day-to-day delivery of AI consulting engagements, translating statements of work into integrated workplans with clear milestones, dependencies, deliverables, and acceptance criteria
• Serve as the primary client contact, facilitating virtual and on-site workshops, status meetings, and decision forums to align diverse client stakeholders
• Structure ambiguous payer business problems, assess current workflows, data, and technology constraints, and translate findings into prioritized AI use cases and value hypotheses
• Own the development, quality, and delivery of client work products, including roadmaps, solution designs, implementation plans, governance models, and value cases
• Coordinate cross-functional teams across healthcare operations, data science, engineering, and change management to define future-state workflows and AI implementation roadmaps
• Manage engagement economics, scope, schedule, staffing, forecast, margins, utilization, and risk mitigation to protect project quality and delivery outcomes
• Partner with sales and account leaders to participate in discovery, proposal development, demonstrations, pricing inputs, and statements of work
• Transform project outcomes and client feedback into reusable playbooks, go-to-market accelerators, and solution narratives to expand Optum AI payer service offerings
• Embed privacy, security, regulatory compliance, model-risk, and responsible AI principles into all client solution recommendations and delivery decisions

You’llbe 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 asprovidedevelopment for other roles you may be interested in.

Required Qualifications:

• 10+ years of experience in management consulting, professional services, health plan transformation, business operations, technology delivery, analytics, or AI-enabled solution delivery
• 7+ years of experience leading the day-to-day delivery of complex, multi-workstream client engagements from mobilization through completion
• 5+ years of experience working with commercial, Medicare, Medicaid, employer-sponsored, or related payer…