Senior Consultant, Payer Population Health - Remote

Senior Consultant, Payer Population Health

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.

The Senior Consultant, Payer Population Health plays a critical role in delivering clinically informed, data-driven solutions to payer clients across Medicare, Medicaid, and Commercial lines of business. As a key member of the Payer Strategy & Delivery team, this role supports the design and execution of population health initiatives that improve member outcomes, reduce clinical variation, and enhance operational performance.

This position is ideal for a healthcare professional with strong clinical acumen and consulting experience who thrives in fast-paced, client-facing environments. The Senior Consultant will lead workstreams, conduct advanced analytics, and collaborate with cross-functional teams-including clinical, actuarial, and operational stakeholders-to translate strategic goals into actionable, measurable outcomes.

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.

Primary Responsibilities:

• Lead assigned workstreams within payer population health engagements, including timeline management, deliverable development, and client communications
• Conduct market and regulatory assessments, support development of population health strategies, and contribute to strategic roadmaps
• Apply structured problem-solving and hypothesis-driven approaches to clinical and operational challenges
• Deliver strategic insights using both quantitative and qualitative analysis identifying trends and opportunities for improvement
• Build trusted relationships with client stakeholders and internal SMEs
• Support junior team members and contribute to team-wide problem solving
• Collaborate with clinical SMEs to translate clinical concepts into actionable strategies for payer clients
• Support initiatives related to care management, utilization management, and clinical quality improvement
• Support implementation of identified initiatives
• Assist in synthesizing clinical data and payer analytics to inform recommendations
• Participate in client presentations and contribute to final deliverables shared with VP and C-suite stakeholders

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:

• 4+ years of experience working in or with payer organizations
• 2+ years of client-facing consulting experience (strategy, operations, or healthcare)
• Project management experience
• Familiarity with clinical concepts and terminology (e.g., care pathways, utilization review, chronic condition management, benefits, enrollment, risk adjustment)
• Solid analytical and problem-solving skills
• Proficiency in MS Office (Word, PowerPoint, Excel)
• Ability to work independently and in matrixed environments
• Willingness to travel up to 50%

Preferred Qualifications:

• Experience supporting clinical transformation or population health initiatives
• Experience with payer data systems and BI tools (e.g., Tableau, Power BI)
• Experience working with cross-functional teams including clinical, actuarial, technical and operations

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.