Concept Validation & Ideation Analyst - 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 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 in making healthcare work better for everyone through people-led, responsible AI while Caring.

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The Concept Validation & Ideation Analyst is responsible for evaluating, validating, and advancing reimbursement policy and Shift Left opportunities that improve payment accuracy, affordability, provider experience, and operational efficiency. This role serves as a critical bridge between ideation and policy execution, ensuring concepts are fully researched, operationally viable, financially supported, and appropriately vetted before entering the policy development lifecycle.

The analyst partners with Shift Left, Payment Policy, Claims Operations, Analytics, CRD, PRD, and Affordability teams to assess opportunities originating from ideation forums, research tickets, operational findings, client discussions, and claim analysis. Through detailed research, policy review, impact analysis, and stakeholder collaboration, the analyst determines whether an opportunity warrants creation of a Payment Policy Ticket (PPT) ticket for a policy modification, enhancement, or new policy.

The position requires solid analytical, communication, facilitation, and presentation skills. The analyst develops business cases, leads concept discussions, presents recommendations to the client during preparation and design calls, incorporates feedback, and builds alignment before handing an approved concept to the Policy Creation team.

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.

Shift Left Concept Validation

• Review and evaluate Shift Left concepts submitted to the Payment Policy ideation team
• Determine the policy, operational, financial, and implementation feasibility of each proposed concept
• Conduct root cause analysis and claims research to validate the opportunity and identify risks, dependencies, exclusions, and potential unintended impacts
• Assess medical cost savings potential, operational impact, scalability, and applicability across relevant lines of business
• Develop clear recommendations to advance, refine, redirect, or close a concept based on documented findings

Research Ticket Review & Broader Ideation

• Review research tickets, operational inquiries, and investigative findings to determine whether additional ideation is viable outside the Shift Left pipeline
• Identify reimbursement policy modification, clarification, enhancement, or new policy opportunities supported by the research findings
• Assess whether the opportunity has sufficient evidence and business rationale to create a PPT ticket for the Policy Creation team
• Identify recurring provider behaviors, coding patterns, reimbursement inconsistencies, claim trends, and operational pain points that may warrant policy intervention
• Collaborate with subject matter experts to address research gaps and strengthen viable policy opportunities

Concept Development & PPT Ticket Preparation

• Translate validated opportunities into clearly defined policy recommendations and business requirements
• Develop PPT tickets and supporting documentation for concepts advancing to the Policy Creation team
• Create savings…