Client Manager, Payment Integrity - Remote

Client Manager

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Our team operates within Optum Payment Integrity, with a primary focus on fraud, waste, abuse, and error. While much of our work supports the Community & State line of business, as the Client Manager your focus will be on behavioral health and commercial clients under Optum Whole Health Solutions. This role involves serving as a trusted client liaison and escalation point for complex, often unique concerns that require deep collaboration across operational teams. The position includes conducting regular client meetings to maintain strong relationships and proactively address issues. By providing timely and accurate responses, the role empowers clients to take appropriate actions with providers, whether through investigation, payment correction, or communication. This work is integral to supporting Optum's mission of ensuring integrity and accountability in healthcare delivery.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Serve as a strategic partner to clients by managing relationships across multiple functional levels, including senior leadership.
• Collaborate with internal teams such as Operations, Analytics, and Reporting to ensure alignment and drive resolution of business issues, escalations, and data/reporting inquiries.
• Communicate effectively with stakeholders, including delivering difficult messages and facilitating crucial conversations.
• Develop transformative, forward-thinking, and resourceful solutions for complex scenarios and lead process improvement initiatives for escalated situations.
• Conduct market research to identify FWAE trends and support targeted projects.
• Ensure compliance with regulatory requirements by coordinating audit support, attending regulator meetings and ensuring operational alignment for reporting requirements.
• Assess and enhance the value of current solutions, support renewal and expansion efforts, and apply contract terms to ongoing client support.

Establishes, cultivates, and manages the customer relationship at multiple levels in the functional areas assigned (senior director to solution owners) serving as a trusted business advisor.

Influence without authority by building strong internal partnerships with Payment Integrity operations and senior leader and executive level client partners.

Handle crucial conversations, and if necessary, deliver difficult messaging to clients.

Actively drive resolution of business issues, escalations, inquiries, data requests, and reporting.

Work closely with client partners to ensure alignment and raise awareness to barriers that need to be escalated for leadership support.

Coordinate delivery of client compliance reporting as well as support of state and federal regulatory audits.

Attend regulator meetings as needed to support Medicaid health plans.

Assess current solutions' value and develop approaches that increase value and impact Optum has on the client's business.

Understand client contract terms and agreements which may impact ongoing client and market support.

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:

• 5+ years of experience in client services, account management, or healthcare operations.
• 3+ years of experience with Payment Integrity solutions and payer-provider dynamics.
• Experience with investigations, troubleshooting and payment correction.
• Experience with regulatory bodies, including but not limited to Medicaid program operations.
• Understanding of fraud, waste, abuse, and error.
• Demonstrated success in driving client satisfaction and retention.
• Solid analytical mindset with proficiency in data interpretation and reporting tools.
• Proficiency in Microsoft Office Suite.

Preferred Qualifications:

• Experience with behavioral health and commercial clients.
• High emotional intelligence and interpersonal skills.
• Solid collaboration and communication skills.
• Proven ability to thrive in a fast-paced, matrixed environment.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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). The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.