UnitedHealth Group

Sr Manager, Payor Performance Analytics

UnitedHealth Group$91K — $163K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent work experience
  • 5+ years of analytical experience in Health Care or Health Plans
  • Extensive knowledge of SQL servers, SAP, and data management systems including Excel and Power BI
  • Experience with large healthcare datasets and payer financial models
  • Proficient in applying AI-enabled analytics tools for financial analysis
  • Strong understanding of Medicare Advantage reimbursement and value-based models

Responsibilities

  • Drive financial and operational components of payer contracting strategy
  • Oversee complex reimbursement modeling for contracts
  • Collaborate cross-functionally to support contract negotiations
  • Identify opportunities for growth and financial sustainability
  • Shape the organization's capitation and value-based care portfolio

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Opportunity for equity stock purchase
  • 401k contribution
  • Extensive choice of benefits and incentives
Full Job Description
The Payor Performance Data Analytics Senior Manager serves as an analytical leader responsible for driving the financial, analytical, and operational components of Kelsey Seybold's payer contracting strategy. This role oversees complex reimbursement modeling and partners cross functionally to ensure successful contract negotiations and implementation of new agreements. The Payor Performance Data Analytics Senior Manager plays a critical role in shaping the organization's capitation and value based care portfolio, identifying opportunities for growth, and ensuring financial sustainability across all contract types.

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:

  • Bachelor's degree or equivalent work experience
  • 5+ years Health Care or Health Plan analytical experience
  • Extensive experience with SQL servers, SAP, data management systems, including but not limited to Excel, Access, and Microsoft Data Services. Knowledge of CMS rules and regulations, Managed Care payment methodologies, and proficient in MS office products, and Power BI
  • Experience working with claims and large healthcare datasets and solid understanding of payer financial models and cost structures
  • Experience applying AI enabled analytics tools (e.g., automated insights, predictive modeling, and intelligent reporting features within platforms such as Power BI or SQL based environments) to support healthcare financial analysis and decision making.
  • Healthcare knowledge with a strong understanding of Medicare Advantage Reimbursement and risk adjustment, capitation and value-based models. Understanding of: Provider reimbursement methodologies (e.g., % of Medicare, DRG, case rates)


Preferred Qualifications:

  • EPIC
  • Hands-on experience conducting cost and utilization analyses to identify actionable performance improvement opportunities within payer or value-based arrangements
  • Experience working with SQL servers and diverse data management systems across different platforms
  • Experience using a range of reporting and analytics tools beyond standard Microsoft Office, with the ability to adapt to different environments
  • Experience leading health plan performance reporting, including cost, utilization, and benchmarking across Commercial, Medicare Advantage, and Marketplace products
  • Experience managing financial reporting for value-based care programs, including shared savings and shared risk models, with responsibility for reconciling claims, capitation, and medical expense data
  • Experience working with Risk Adjustment Factor (RAF) analytics and collaborating with health plans to improve Medicare Advantage performance
  • Experience presenting financial performance results and strategic insights in payer-facing settings, including Joint Operating Committee (JOC) meetings
  • Working knowledge of payer financial models, reimbursement structures, and large healthcare datasets in practical applications
  • Familiarity with healthcare data analysis without deep specialization in regulatory frameworks or advanced analytics tools


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 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

Similar Jobs

More Jobs at UnitedHealth Group

More Healthcare Jobs

Find similar Sr Manager, Payor Performance Analytics jobs: