Advisory Manager, Payer Operations - Remote

Eden Prairie, Minnesota (United States) Overview In this role you lead payer operations consulting engagements focused on payment integrity. You manage cross-functional teams and deliver client-ready recommendations that show measurable value. You will address claims operations, performance drivers, and financial impact while collaborating with senior leaders. The position offers remote work with some in-office requirements in certain locations and a strong path for career development. You will help advance health equity by improving payer-related processes and outcomes. Compensation / Benefits comprehensive benefits package incentive and recognition programs equity stock purchase 401k contribution remote work options telecommuter policy compliance Responsibilities Lead payer operations and payment integrity consulting engagements Direct and coordinate project teams with matrix reporting Deliver projects on time and communicate progress Translate analysis and stakeholder feedback into client-ready recommendations Create and present to senior leaders and executives Key requirements 5+ years in healthcare experience (health plan operations or healthcare management consulting) 3+ years in healthcare management consulting serving payer clients 3+ years in payment integrity and payer operations (claims processes, controls, performance drivers, financial impact) 3+ years leading teams and managing work in a matrixed environment 3+ years of project management (scope, milestones, risks, delivery) 3+ years creating and delivering client-facing presentations for senior/executive audiences 3+ years soliciting, synthesizing, and acting on client and leadership feedback Ability to travel up to 50% Written, verbal, facilitation skills Relationship-management and executive communication Client-focused and collaborative mindset Lean Six Sigma Agile