Manager, Market Advocacy - Remote

Optum is a global healthcare organization that uses technology to improve health outcomes and connect people with care and resources. The Manager, Market Advocacy serves as a Market Operations Liaison, leading cross-functional efforts, resolving complex operational issues, analyzing risks, and improving provider and customer experiences.

Responsibilities:

• Serve as the primary MOL and advocate for market and provider operational needs across enterprise partners
• Lead complex operational issues through identification, escalation, root cause analysis, resolution, and stabilization
• Apply claims processing knowledge to identify trends, assess provider and member impacts, and partner with shared services on timely, sustainable solutions
• Facilitate governance forums, operational reviews, and performance discussions to drive accountability and transparency
• Analyze operational data, identify risks and service gaps, and recommend solutions that improve performance and stakeholder satisfaction
• Build trusted relationships with market leaders, external providers, provider groups, and cross-functional partners
• Meet with external providers and provider groups, as needed, to address operational concerns, provide education, gather feedback, and support resolution of escalated issues
• Lead or support strategic initiatives, process improvements, and implementations affecting market operations
• Prepare concise executive communications, recommendations, and decision-support materials for leadership

Requirements:

• • 5+ years of experience in healthcare, payer, provider, claims, market operations, or a related field
• • Experience leading complex cross-functional work and influencing outcomes in a matrixed organization without direct authority
• • Demonstrated knowledge of claims processing workflows, issue resolution, and impacts to provider and member experience
• • Solid analytical, relationship management, communication, presentation, and problem-solving skills
• • Experience engaging with external provider organizations and leadership audiences