Senior Manager of Operational Finance - Care Delivery

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
Optum, part of UnitedHealth Group, is dedicated to caring, connecting, and growing together to transform care delivery. We leverage data, technology, and deep operational insight to improve health outcomes and optimize care delivery across communities.
Optum Health CA is seeking a strategic and analytical Senior Manager of Operational Finance to join our high-impact team. This role is pivotal in bridging the gap between Optum's central business functions and our field operations, serving as a trusted advisor to regional and executive leadership. The ideal candidate will bring a strong blend of financial acumen, operational insight, and communication prowess to help drive performance across our care delivery organizations.
As a key member of the finance team, you will lead efforts to evaluate regional performance, support strategic decision-making, and develop actionable insights that enhance clinical and financial outcomes. This is an exceptional opportunity for a finance leader who thrives in a dynamic, mission-driven environment and is passionate about transforming health care through data and collaboration.
Primary Responsibilities:

• Strategic Financial Leadership
  • Partner with regional and executive leadership to assess financial and operational performance across care delivery markets
  • Lead financial modeling and analysis to evaluate new service lines, clinic expansions, and strategic initiatives
  • Provide deep insights into medical expense trends and develop mitigation strategies to improve cost efficiency and care quality
  • Support value-based care initiatives by aligning financial planning with clinical outcomes and organizational goals
  • Act as a liaison between central finance teams and field operators, ensuring alignment on goals, metrics, and execution
  • Translate complex financial data into clear, actionable recommendations for non-financial stakeholders
  • Drive continuous improvement in forecasting, budgeting, and performance management processes
  • Mentor and develop junior finance team members, fostering a culture of trust, accountability, analytical rigor, strategic thinking, and open communication
  • Oversee P&L management, including variance analysis and financial reporting-leveraging insights similar to those seen in roles for physician groups and delivery systems
• Operational Finance & Analytics
  • Drive financial performance monitoring through metrics and KPIs; translate operational and financial data into actionable recommendations
  • Support care delivery leaders with staffing analytics, cost-containment strategies, and efficiency initiatives
• Business Partnership & Advisory
  • Serve as a trusted financial advisor to clinical and operational leadership, bridging care delivery strategy and finance
  • Participate in value improvement initiatives, new program implementation, and ROI analysis for growth opportunities
• Systems, Improvements & Controls
  • Implement and optimize financial systems and data processes for accuracy in forecasting, reporting, and analytics-referencing system improvement leadership seen in Optum corporate roles
• Team Leadership
  • Lead and develop a finance team supporting operational finance across CA. Mentor direct reports, foster collaboration, and encourage continuous improvement

Why This Role Matters
This position sits at the nexus of finance and care delivery-driving financial health, operational insights, and sustainable growth in one of Optum's most dynamic and impactful segments.
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 in Finance, Accounting, or related field / relevant experience
• 5+ years of finance experience, preferably within healthcare delivery systems
• Proven solid FP&A background-budgeting, financial modeling, variance analysis, P&L accountability
• Proven ability to collaborate with operational/clinical leaders to drive financial performance
• Proven solid Excel skills
• Proven expertise in financial systems (budgeting tools, reporting platforms-e.g., Essbase, PeopleSoft, etc.)
• Work onsite in the Irvine, CA office on a hybrid schedule

Preferred Qualifications:

• MBA, MHA
• Experience in healthcare care delivery or similar operational environments
• Team management experience designing and scaling finance functions
• Experience in managed care or integrated delivery systems
• Advanced Excel and financial modeling skills. Experience with PowerBI
• Solid understanding of value-based care models and health economics
• Demonstrated leadership in matrixed organizations and cross-functional initiatives
• Demonstrated expertise in medical expense analytics and cost containment strategies
• Proven ability to influence cross-functional stakeholders through data-driven insights

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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.