Senior Product Manager - Professional Claims Review - Payment Integrity at UnitedHealth Group

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Product Manager is a strategic product leader responsible for defining and executing the product strategy for one of Optum Payment Integrity's Professional Claim Review products. These are established, widely adopted products operating at significant scale - which means the innovation you drive reaches the market fast and shows up in real client and financial outcomes, not someday but now. 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 product delivers measurable client value, scales effectively, and remains differentiated in the market. Why this role • Own a product 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. This is a high-impact role for a strategic product leader who thrives at the intersection of data, technology, and market opportunity, and who is equally adept at setting vision and driving execution. 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: • Define the Market Vision and Product Strategy • Craft and champion a clear product vision and multi-year product strategy- • Translate market needs, payer feedback, professional reimbursement changes, and competitive intelligence into actionable product direction- • Align product investments to deliver customer value, revenue growth, and market differentiation- • Partner with other Product Managers in the portfolio to ensure product decisions support both scalability and client success- • Lead Product Development and Execution • Translate strategy into actionable roadmaps, well-defined requirements, and prioritized outcomes- • Collaborate with engineering, AI/ML, analytics, and operations to deliver data-driven solutions that improve accuracy, efficiency, and user experience- • Drive prioritization, balancing innovation, technical debt reduction, and operational scalability- • Ensure product launches are timely, high-quality, and aligned to go-to-market goals- • Measure and Optimize Product Performance • Define and monitor KPIs tied to adoption, financial performance, and client outcomes- • Partner with analytics and finance teams to evaluate product ROI and inform future investments- • Use data and user feedback to continuously refine strategy, features, and market positioning- • Collaborate to Drive Market Growth • Partner with go-to-market, sales, and marketing teams to drive product adoption and expansion across payer clients- • Support pricing, packaging, and positioning in collaboration with the Director of Product and GTM leadership- • Identify and scale client-proven innovations to the broader market- • Stay Ahead of Market and Industry Trends • Monitor market, regulatory, and competitive shifts to identify emerging opportunities and risks- • Translate evolving market dynamics into forward-looking roadmap updates- At Optum, product leaders are builders and connectors - translating complex healthcare challenges into scalable, data-driven solutions that improve affordability and trust in the healthcare system. You will collaborate closely with other Product Managers and cross-functional teams to advance a unified roadmap and shared vision for building AI-powered solutions that transform healthcare payment integrity. If you thrive on turning insight into impact and working across teams to drive innovation, you'll find your next challenge here. 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: • 7+ years of experience in product management, product strategy, and/or business transformation • 5+ years of experience in professional claims within payment integrity • Experience leading cross-functional teams and influence senior stakeholders to align priorities and execute strategic initiatives • Experience with professional and behavioral health reimbursement methodologies - including CPT/HCPCS and E/M coding; NCCI edits; physician fee schedules (RBRVS); and Behavioral Health-specific payment models, levels of care, and parity requirements • Own product strategy, roadmap, and end-to-end delivery of complex healthcare products or initiatives that improve reimbursement accuracy, coding integrity, provider compliance, with measurable client and business outcomes • Demonstrated ability to work with data science teams to define model objectives, evaluate performance, interpret outputs, and translate findings into actionable product features, workflows, and business outcomes • Demonstrated ability to partner with engineering, AI/ML, and data science teams to deliver innovative, data-driven capabilities • Demonstrated success modernizing, repositioning, or transforming an established product through changing market conditions, emerging technologies, or evolving customer needs • Demonstrated solid analytical and systems‑thinking skills, with the ability to translate complex problems into clear product strategies Preferred Qualifications: • MBA or equivalent experience in business strategy, technology, or product leadership • Product or Agile certifications such as CSPO, PSPO, SAFe POPM, or similar • Experience leveraging large healthcare datasets, provider analytics, or claim-level data to identify opportunities, measure outcomes, and drive product decisions • Experience leading or mentoring other product professionals, or partnering closely with engineering leaders to deliver outcomes (not just outputs) • Experience in U.S. healthcare payment integrity, professional claims, coding validation, reimbursement policy, provider billing, or provider revenue cycle, with a strong understanding of the factors that drive claim payment accuracy, reimbursement outcomes, and provider billing behavior • Working knowledge of Optum and/or UnitedHealth Group • Demonstrated understanding of how AI, automation, and clinical documentation technologies are changing provider coding, billing, reimbursement, or payment integrity processes • Demonstrated ability to translate ambiguous business challenges into scalable product solutions and actionable roadmaps • Demonstrated ability to use customer insights, market intelligence, and data analytics to inform product decisions and prioritization • Demonstrated ability to communicate product strategy, progress, and impact effectively to executive and technical audiences • Demonstrated ability to lead cross-functional teams and influence senior stakeholders to align priorities and execute strategic initiatives *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 $112,700 - $193,200 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. UnitedHealth Group 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. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Requirements

Must-haves

Why this role
Own a product 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.
This is a high-impact role for a strategic product leader who thrives at the intersection of data, technology, and market opportunity, and who is equally adept at setting vision and driving execution.
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.
Define the Market Vision and Product Strategy • Craft and champion a clear product vision and multi-year product strategy-
Translate market needs, payer feedback, professional reimbursement changes, and competitive intelligence into actionable product direction-
Align product investments to deliver customer value, revenue growth, and market differentiation-
Partner with other Product Managers in the portfolio to ensure product decisions support both scalability and client success-
Lead Product Development and Execution • Translate strategy into actionable roadmaps, well-defined requirements, and prioritized outcomes-
Collaborate with engineering, AI/ML, analytics, and operations to deliver data-driven solutions that improve accuracy, efficiency, and user experience-
Drive prioritization, balancing innovation, technical debt reduction, and operational scalability-
Ensure product launches are timely, high-quality, and aligned to go-to-market goals-
Measure and Optimize Product Performance • Define and monitor KPIs tied to adoption, financial performance, and client outcomes-

Nice-to-haves

MBA or equivalent experience in business strategy, technology, or product leadership
Product or Agile certifications such as CSPO, PSPO, SAFe POPM, or similar
Experience leveraging large healthcare datasets, provider analytics, or claim-level data to identify opportunities, measure outcomes, and drive product decisions
Experience leading or mentoring other product professionals, or partnering closely with engineering leaders to deliver outcomes (not just outputs)
Working knowledge of Optum and/or UnitedHealth Group
Demonstrated understanding of how AI, automation, and clinical documentation technologies are changing provider coding, billing, reimbursement, or payment integrity processes
Demonstrated ability to translate ambiguous business challenges into scalable product solutions and actionable roadmaps
Demonstrated ability to use customer insights, market intelligence, and data analytics to inform product decisions and prioritization
Demonstrated ability to communicate product strategy, progress, and impact effectively to executive and technical audiences
Demonstrated ability to lead cross-functional teams and influence senior stakeholders to align priorities and execute strategic initiatives

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401k