Director, Payer Innovation and Strategy - Remote

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 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 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'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.

• 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

• 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 organizations
• 5+ years of payer domain expertise in one or more core areas such as claims, utilization management, prior authorization, care management, risk adjustment, quality, network management, or member services
• 5+ years of experience translating complex business problems into AI/data use cases, workflow requirements, solution designs, operating model changes, and quantifiable value cases
• 5+ years of experience facilitating workshops, status meetings, and executive decision forums with senior client stakeholders
• Ability to travel up to 30-40% to client locations as required

• Advanced degree (e.g., MBA, Master's in Healthcare Administration, Computer Science, or related field)
• Demonstrated understanding of machine learning, generative AI, cloud platforms, healthcare data structures, and responsible AI frameworks
• Experience contributing to business development, RFP responses, pricing models, staffing plans, and statements of work
• Solid financial acumen with experience managing engagement budgets, billable utilization, and project margins
• Proven capability coaching and directing multidisciplinary teams spanning business, clinical, data science, and…