HfS Winner’s Circle Recognition for Optum Health Care Business Operations Services

An interview with Brian Murray, Senior Vice President, Optum


HfS Research is a global research and advisory firm. They recently published their Healthcare Business Operations Services Blueprint. It provides an analysis of the business process services and outsourcing market for health care business operations.

HfS placed Optum in the HfS Winner’s Circle for its data- and platform-driven analytics capability infused into health care business operations. This award is the highest distinction for service providers that show competitive differentiation in a particular line of delivery. The award also recognizes excellence in execution and innovation. Among 13 competitors, Optum was the only health services company that HfS included and recognized.

Brian Murray is senior vice president at Optum. He works with health plans and providers to develop innovative managed services models that focus on growth and cost savings. We interviewed Brian to find out what this award means to our customers.

What key challenge is Optum addressing with its distinguished health care business operations services?

The health care system is disconnected. For our clients, it costs time and money to get everything to work together. We are listening to our customers who say “we don’t see value in commodity-based outsourcing arrangements.” Optum offers connectivity through comprehensive business process and technology services supported by an integrated platform. Our clients can use what they need, when they need it. To add another service or technology, the client can ask us to “turn it on” within our platform. There is no need for them to invest more time and money on a separate integration project. Our “puzzle-piece” model is more focused on outcomes. And we are a partner that shares in the risk.

We all know it’s a race to invest in the technology and capabilities to support consumer centricity, outcome-based care and changes in reimbursement models. Optum offers flexibility Optum that reduces the client’s total cost of ownership. They can leverage our technology in self-service mode or ask us to run the business process on their behalf. This frees them up to focus their time and investment dollars to improve the well-being of members and patients. That is a goal we share.

What is the Optum difference in the area of health care business operations?

Our biggest differentiators are that we can provide an end-to-end, integrated solution that is 100 percent focused on health care. And Optum has honed its operations by supporting the largest payer in the U.S. As HfS noted in their Blueprint report, “Optum enables an outcome-based, on-demand ecosystem that brings together multiple sources of data on a platform and uses machine learning and real-time analytics that enable people with decision support and recommendations.”

Optum is uniquely positioned to help clients with the disruption they face today. We have unmatched health care expertise, industry-leading solutions, analytics capabilities, integrated business and technology platform, commitment to innovation and cross-system collaboration and partnerships.

Optum also offers clients an attractive option to shift capital expenses to an operating expense model. We can architect innovative agreements and take on risk for operating performance.

Where has Optum helped clients with their health care business operations?

A recent client example is a Blues plan with 1 million members. They were seeking to drive out cost and transform their technology capability to support their growth objectives and care agendas. We structured an arrangement to take over claims operation and manage their information technology (IT) services. Over the next two to three years, Optum will help them transform to a more scalable, flexible and less costly digital/cloud-based model.

What made us stand out to this client? It starts with the quality of our services. Combine that with our plan to drive immediate economic savings for the client and our commitment to the community.

Read the HfS Healthcare Business Operations Services Blueprint. Learn new ways of thinking about health care operations along with what differentiates Optum.


About Brian Murray:

WF387081_Payer_TCO_blog_1200x628_MurrayIn his role as senior VP, Brian Murray works with health plans and providers to develop innovative new outsourcing models. These models focus on growth, cost containment and investment in local communities. He joined Optum in 2006 and has held numerous leadership positions. These roles included: managing director of the operations and technology consulting practice; chief growth officer of Optum consulting; and general manager of the risk optimization and growth business. Prior to joining Optum, Brian spent much of his career in management consulting. At Deloitte and Touche and Cap Gemini Ernst and Young, he focused on strategy, business transformation and ERP system implementation.

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