[Remote] Associate Director, Healthcare Economics (CRD) Concept Research & Development - Payment Integrity - Remote

Note: The job is a remote job and is open to candidates in USA. Optum Insight is hiring an Associate Director to lead a team of Business Analysts supporting Concept Research & Development in Payment Integrity. The role oversees team performance and development, guides high-quality healthcare claims analysis, aligns cross-functional stakeholders, and advances process improvement, AI adoption, and automation.

Responsibilities

• Lead and develop a team of Business Analysts: Provide direct people leadership, including performance management, regular coaching, career development, talent planning, employee engagement, recognition, and management of performance concerns. Establish clear expectations and create an inclusive, accountable, and high-performing team culture
• Build team capability and succession: Assess current and future capability needs, identify skill gaps, develop growth plans, support succession planning, and create opportunities that strengthen Payment Integrity and business analysis expertise across the team
• Apply Payment Integrity expertise: Use knowledge of healthcare claims, reimbursement, coding, policy, provider billing, and payment integrity methodologies to guide analysis, challenge assumptions, assess concept opportunities, and support accurate, actionable recommendations
• Drive high-quality business analysis delivery: Ensure analysis clearly defines the payment issue, supporting evidence, root cause, impacted claims or providers, solution path, financial opportunity, operational considerations, and expected business outcome
• Strengthen cross-team collaboration: Partner with solutioning paths, business partners, analytics, policy, and operations teams to ensure alignment, shared understanding, and smooth handoffs
• Communicate with clarity and influence: Translate complex business needs, analysis findings, and strategic priorities into clear messages for leadership, partners, and team members
• Set direction and priorities: Balance team capacity, prioritize work, and align resources to meet CRD objectives and evolving business needs
• Promote consistency, process improvement, and innovation: Establish and reinforce standard business analysis practices, tools, and processes that improve quality, efficiency, and collaboration while reducing manual effort and modernizing how the team operates
• Advance AI adoption and automation: Lead the evaluation and adoption of AI-enabled tools, automation opportunities, and more efficient ways of working that improve productivity, reduce rework, and support scalable delivery
• Build stakeholder relationships and executive confidence: Develop trusted partnerships and present updates, recommendations, and team insights with confidence, professionalism, and strong executive presence

Skills

• 5+ years of experience in healthcare
• 3+ years within Payment Integrity, Revenue Integrity, claims operations, healthcare analytics, or a closely related function
• 3+ years of direct people-management experience with accountability for employee performance, coaching, development, engagement, and talent planning
• Demonstrated experience leading teams through organizational, process, or technology-enabled change
• Experience using data and analysis to identify payment issues, validate opportunities, determine root causes, and support solution development
• Demonstrated experience working across highly collaborative, cross-functional environments and building strong partnerships with multiple stakeholder groups
• Experience establishing or improving team processes, standards, or operating practices
• Experience leading or supporting process improvement, AI adoption, automation, or technology-enabled transformation efforts
• Working knowledge of healthcare claims, provider billing, reimbursement, coding, policy, and payment accuracy concepts
• Proven persuasive communication and presentation skills, including experience presenting to leadership, stakeholders, and large groups
• Proven ability to manage priorities, balance team workloads, and deliver results in a matrixed environment
• Experience leading Business Analysts or multidisciplinary Payment Integrity teams
• Experience with prepayment and post-payment concept development
• Experience managing geographically dispersed or matrixed teams
• Experience developing future leaders and implementing succession or capability-development plans
• Knowledge of CRD processes and the end-to-end concept development lifecycle
• Familiarity with medical claims, coding guidelines, reimbursement methodologies, provider data, and healthcare policy
• Proven exposure to continuous improvement initiatives and emerging tools such as AI or automation solutions

Benefits

• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Remote work from anywhere within the U.S.; hires in the Minneapolis or Washington, D.C. area are required to work in the office a minimum of four days per week

Company Overview

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