Director, Payer Network Optimization - OI Product - 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.

Connecting. Growing together.

Provider Enablement Technology Product at Optum Insight builds and commercializes Value Connect, an analytics and AI-driven healthcare platform that helps payers and providers improve cost, quality, and performance in value-based care.

We are looking for a payer network optimization and network economics expert to fill our Director, Payer Network Optimization.

The role owns an integrated portfolio spanning provider directory and data accuracy, provider attribution, network adequacy and access, network optimization, and provider performance measurement, benchmarking, and improvement-turning network and provider data into actionable decisions that improve cost, quality, access, and value-based care outcomes.

This is a builder role-not an operator, reporting-focused product manager, or implementation lead. The right candidate can productize complex network economics, healthcare economics, analytics, benchmarks, simulations, and decision-support workflows in a way that is explainable, trusted, actionable, and commercially viable.

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.

• Own the Network Optimization product strategy, roadmap, prioritization, delivery, commercialization, and outcome goals within Value Connect
• Prioritize high-value use cases across network strategy and value-based network design, access, adequacy, provider performance, referrals, leakage, steerage, site of service, accountable care organization fit, alternative payment model fit, shared savings, and cost-of-care improvement
• Translate network strategy, healthcare economics, benchmarks, simulations, and analytics into trusted decision-support workflows-not static dashboards or retrospective reporting
• Partner with engineering, UX, data science, architecture, actuarial, medical economics, network strategy, advisory, clinical, compliance, and go-to-market teams to deliver scalable capabilities
• Ensure product logic, AI-enabled insights, and recommendations are explainable, evidence-backed, user-centered, and aligned to client value and measurable ROI
• Communicate roadmap decisions, tradeoffs, dependencies, risks, value story, and performance outcomes clearly to senior stakeholders, clients, and commercial partners

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.

• 8+ years of overall experience across healthcare, technology, analytics, product, or related environments
• 5+ years of experience in payer network strategy, network economics, medical economics, healthcare economics, cost-of-care analytics, or closely related areas, with experience in areas such as total cost of care, unit cost and utilization, provider/network performance, network design, contracting, adequacy, or value-based care
• 5+ years of experience translating complex healthcare business or domain…