Director of Product, Facilities Claims Review at UnitedHealth Group

Job description

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. Shape the future of facility claim review by leading a scaled portfolio of established products and building the next generation of AI-enabled reimbursement accuracy solutions. The Director of Product is a strategic product leader and innovator with responsibility for Optum's Facility Claim Review products. These are proven, in-market products operating at significant scale across the country - which means the work you drive reaches payers and providers fast and shows up in real accuracy, affordability, and financial outcomes. Optum Payment Integrity helps health plans and healthcare organizations ensure claims are paid accurately and fairly, reducing unnecessary medical spend across the full claim lifecycle through a combination of advanced analytics, AI, and deep healthcare reimbursement expertise. You will own the product vision, roadmap, and performance ensuring the products deliver measurable client value, scales effectively, and remains differentiated in the market. Success in this role requires someone who can understand how legacy technology interacts with modernization efforts and new product capabilities. Why this role • Own a product area that's already winning - and take it further. You're not starting from zero. You'll inherit a proven, in-market product with a strong client base and clear runway to scale new value quickly • Build at the intersection of healthcare reimbursement and applied AI. You'll partner daily with AI/ML, analytics, and data science teams to turn some of healthcare's most complex reimbursement problems into intelligent, data-driven solutions • Real influence, real visibility. You'll set strategy, drive execution, and shape decisions alongside senior leaders across product, engineering, and go-to-market - with your impact measured in client outcomes and business growth You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: • Set Product Strategy and Investment Priorities • Define and champion the Facility Claim Review vision, product strategy, and multi-year roadmap • Turn payer needs, reimbursement changes, client feedback, and competitive intelligence into clear product choices and investment priorities • Balance product performance, platform health, AI-enabled innovation, and new product development within the broader Payment Integrity strategy • Lead Market and Client Engagement • Serve as the external product leader with payer clients, industry stakeholders, and executive audiences • Lead discovery, roadmap validation, and advisory discussions to identify unmet needs and validate scalable opportunities • Use market insight to inform positioning and keep innovation grounded in real reimbursement and workflow challenges • Deliver and Scale Products • Own the lifecycle from opportunity definition and business case through development, launch, adoption, and improvement • Align engineering, AI/ML, analytics, content, clinical, coding, and operations teams around prioritized outcomes • Advance analytics, decision support, and automation while balancing near-term commitments with scalability and technical health • Drive Growth and Product Performance • Grow the products by expanding adoption across a large installed base and launching new products and audit opportunities • Define positioning, packaging, pricing, and value propositions, and partner with go-to-market, finance, and operations on commercial readiness and value measurement • Own KPIs across financial performance, client value, adoption, accuracy, and product health, using data and financial insight to prioritize action • Lead a Team • Build, coach, and develop a high-performing product team with clear accountability • Give product managers the context and authority to make decisions, manage tradeoffs, and deliver measurable outcomes • Create alignment and clear decision rights across a matrixed organization spanning Product, Technology, Analytics, Content, Operations, and Go-to-Market • Stay Ahead of the Market • Anticipate changes in facility reimbursement, payment policy, regulation, technology, and payer and provider behavior • Identify opportunities across inpatient and outpatient claims and payment models • Represent Optum product leadership at key client and industry forums Make an impact and shape the future direction of Payment Integrity with a team that values creativity, customer focus, and cross-functional collaboration! You'll be rewarded and recognized for your performance and benefit from opportunities to grow and take on new challenges. 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: • 10+ years of experience in product management, platform leadership, or business transformation • 5+ years of healthcare experience in payment integrity, healthcare payments, health system revenue cycle management • Experience with go-to-market strategy, including positioning, pricing, launch readiness, and value measurement • Experience working with technology platforms, analytics solutions, APIs and complex system integrations • Experience leading and developing product teams and influencing across a matrixed organization Proven solid analytical and systems-thinking skills, translating complex challenges into scalable product strategies • Demonstrated ability to translate business requirements into technical solutions Preferred Qualifications: • MBA or equivalent experience in business strategy, technology, healthcare, or product leadership • Experience launching and scaling enterprise B2B, SaaS, or AI-enabled products in data-intensive environments • Experience applying AI or advanced analytics to decision support, review automation, or workflow optimization • Working knowledge of Optum and/or UnitedHealth Group • Deep knowledge of facility reimbursement methodologies, provider revenue cycle, reimbursement policy, or health plan affordability • Proven track record of direct client engagement, from discovery and validation through executive-level collaboration • Proven track record of launching successful products that drive measurable impact in competitive markets *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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 $134,600 - $230,800 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives. UnitedHealth Group and its affiliated brands are 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. UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Requirements

Must-haves

Shape the future of facility claim review by leading a scaled portfolio of established products and building the next generation of AI-enabled reimbursement accuracy solutions.
Success in this role requires someone who can understand how legacy technology interacts with modernization efforts and new product capabilities.
Why this role
Own a product area that's already winning - and take it further. You're not starting from zero. You'll inherit a proven, in-market product with a strong client base and clear runway to scale new value quickly
Set Product Strategy and Investment Priorities • Define and champion the Facility Claim Review vision, product strategy, and multi-year roadmap
Turn payer needs, reimbursement changes, client feedback, and competitive intelligence into clear product choices and investment priorities
Balance product performance, platform health, AI-enabled innovation, and new product development within the broader Payment Integrity strategy
Lead Market and Client Engagement • Serve as the external product leader with payer clients, industry stakeholders, and executive audiences
Lead discovery, roadmap validation, and advisory discussions to identify unmet needs and validate scalable opportunities
Use market insight to inform positioning and keep innovation grounded in real reimbursement and workflow challenges
Deliver and Scale Products • Own the lifecycle from opportunity definition and business case through development, launch, adoption, and improvement
Align engineering, AI/ML, analytics, content, clinical, coding, and operations teams around prioritized outcomes
Advance analytics, decision support, and automation while balancing near-term commitments with scalability and technical health
Drive Growth and Product Performance • Grow the products by expanding adoption across a large installed base and launching new products and audit opportunities
Define positioning, packaging, pricing, and value propositions, and partner with go-to-market, finance, and operations on commercial readiness and value measurement
Own KPIs across financial performance, client value, adoption, accuracy, and product health, using data and financial insight to prioritize action
Lead a Team • Build, coach, and develop a high-performing product team with clear accountability

Nice-to-haves

MBA or equivalent experience in business strategy, technology, healthcare, or product leadership
Experience launching and scaling enterprise B2B, SaaS, or AI-enabled products in data-intensive environments
Experience applying AI or advanced analytics to decision support, review automation, or workflow optimization
Working knowledge of Optum and/or UnitedHealth Group
Deep knowledge of facility reimbursement methodologies, provider revenue cycle, reimbursement policy, or health plan affordability
Proven track record of direct client engagement, from discovery and validation through executive-level collaboration
Proven track record of launching successful products that drive measurable impact in competitive markets

Application prep

Use the role’s language and application details while tailoring your materials.

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Benefits

Benefits detected in the listing.

Vision

401k