Capability Manager, Prior Authorization - Remote

UnitedHealth GroupJacksonville, FL
Remote

About The Position

This leader is responsible for establishing a strategy and associated roadmap, to deliver a comprehensive communications framework, serving members, providers, and cross-functional internal teams, for the Optum Prior Authorization Organization. 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.

Requirements

  • 3+ years of experience as a product owner, business analyst and/or related role that involves defining and implementing capabilities or complex business processes
  • 3+ years of Prior Authorization experience
  • Experience in systematically analyzing processes and problems, drawing relevant conclusions, and devising appropriate course to resolution
  • Experience in verbal and visual presentation skills, as well as solid written and interpersonal communication skills
  • Proven effective collaboration skills with cross-functional teams resulting in conflict resolution, issue resolution, and successful outcomes
  • Proven ability to support scheduled and emergency system implementation releases, including availability during occasional weekends and non standard hours as business needs require
  • All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Nice To Haves

  • Experience developing a strategy, prioritizing strategic deliverables on a plan/roadmap, and engaging stakeholders to maintain awareness and alignment
  • Experience managing a product or capability roadmap and ensuring strategic alignment with the organizational vision
  • Experience utilizing user experience collateral such as personas, journey maps, etc.
  • Experience collaborating with and influencing senior level leaders and gaining consensus
  • Experience with OptumRx systems such as PAS/PANDA (Prior Authorization System / Prior Authorization Network Decisioning Application) and/or RxClaims

Responsibilities

  • Lead capability strategy, understanding customer, business, and operations needs
  • Define and execute against capability roadmaps that focus initially on minimally viable deliverables, while contemplating the near and long-term future enhancements that increase that value over time; draw on an agile mindset
  • Collaborate with internal leaders and external partners to gain an understanding of their business needs and adapt strategy, priorities, and business plans accordingly
  • Address operational challenges with both technical and non-technical solutions
  • Understand the user experience and deliver solutions that delight
  • Lead change and innovation by pursuing opportunities to adopt new technologies and drive adoption to enhance business outcomes
  • Drive and manage high-quality execution across organizational lines
  • Communicate strategy, business value, and customer success with impact, and influence stakeholders to achieve win-win solutions that advance the organizational goals
  • Drive to understand the “why” and connect the benefit of technology to the business capability and be able to clearly articulate this to both technical and non-technical stakeholders

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Senior

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service