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Optum

Advisory Services Senior Consultant - Remote

Posted 2 Days Ago
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In-Office or Remote
Hiring Remotely in Fremont, CA
92K-164K Annually
Senior level
In-Office or Remote
Hiring Remotely in Fremont, CA
92K-164K Annually
Senior level
Implement and configure the StepWise healthcare rating platform for payer clients. Responsibilities include requirements gathering, solution design, rating and workflow configuration, SQL and Excel-based analysis, testing, client presentations, training, project scoping, pricing model development, and client relationship management. The consultant directs work segments, manages deliverables, addresses complex issues, and serves as a StepWise subject matter expert.
The summary above was generated by AI
Requisition Number: 2399640
Optum Insight is 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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Optum StepWise Automated Rating is a proprietary software platform that delivers centralized rate management, financial modeling, and automated quoting across products and lines of business. Its enterprise-level rate engine, block management tools, and underwriting application enhance financial management, improve sales channel responsiveness, and increase operational agility.
As an Advisory Services Senior Consultant, you will work directly with our payer clients on StepWise implementations, including requirements gathering, solution design, configuration, and testing. Ideal candidates will have a background in commercial healthcare underwriting or actuarial pricing combined with a strong technical aptitude and a desire to solve complex problems using cutting-edge software tools. Excellent written and verbal communication skills are a must; this is a direct client-facing role.
Primary Responsibilities:
  • Work with the StepWise software to configure rating algorithms, factor tables, and proposal outputs
  • Work with the StepWise software to configure user experiences (including health plan sales and underwriting users)
  • Work with the StepWise software to create business process / workflow automation
  • Use Excel and SQL-based systems to solve clients' business problems
  • Present solution design and configurations to peers and clients
  • Become a trusted advisor to our clients by:
    • Learning, understanding, and adhering to StepWise configuration best practices
    • Understanding our clients' business and place within the market
    • Being transparent, accountable, and following through on commitments
    • Communicating project status and risks often and early
    • Acting as a main point of contact both during a project and after implementation is complete
  • Assist with StepWise end-user and super-user training
  • Assist with project scoping and requirements gathering
  • Assist with writing contracts and developing pricing models
  • Understand industry issues, changes, and potential impacts and opportunities for the StepWise consulting team
  • Direct segments of work and manage deliverables
  • Be capable of meeting multiple project deadlines with minimal supervision
  • Serve as a subject matter expert for others
  • Possess excellent verbal and written communication skills, is tactful and listens well
  • Work with less structured, more complex issues

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 Qualifications:
  • 3+ years of experience writing SQL queries
  • 1+ years of experience working in commercial healthcare
  • 1+ years of experience in healthcare systems development
  • Advanced level of proficiency with Microsoft Excel - including complex formulas and macros / VBA

Preferred Qualifications:
  • Experience working as an underwriter or actuary in commercial healthcare
  • Experience working with the StepWise Suite
  • Familiarity with XML / JSON

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.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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