Director, Payer Network Optimization - OI Product - Remote
About The Position
Optum Insight’s Provider Enablement Technology Product organization builds and commercializes Value Connect, an analytics- and AI-driven healthcare platform that helps payers and providers improve cost, quality, and performance in value-based care. The Director, Payer Network Optimization owns an integrated product portfolio covering provider directory and data accuracy, provider attribution, network adequacy and access, network optimization, and provider performance measurement, benchmarking, and improvement. The goal is to turn network and provider data into actionable decisions that improve cost, quality, access, and value-based care outcomes. This is a builder role focused on productizing complex network economics, healthcare economics, analytics, benchmarks, simulations, and decision-support workflows so they are explainable, trusted, actionable, and commercially viable. The position owns product strategy, roadmap, prioritization, delivery, commercialization, and outcome goals within Value Connect. The role is remote within the U.S.; employees located in the Minneapolis or Washington, D.C. areas must work in the office at least four days per week. Remote employees must comply with UnitedHealth Group’s Telecommuter Policy.
Requirements
- 8 or more years of overall experience across healthcare, technology, analytics, product, or related environments.
- 5 or more years of experience in payer network strategy, network economics, medical economics, healthcare economics, cost-of-care analytics, or closely related areas, including experience with total cost of care, unit cost and utilization, provider or network performance, network design, contracting, adequacy, or value-based care.
- 5 or more years of experience translating complex healthcare business or domain problems into technology, analytics, AI, or scalable product capabilities, including partnering with Product, Engineering, UX, Data Science, or technology teams and prioritizing solutions based on customer value, business impact, feasibility, data readiness, and scalability.
- Demonstrated ability to work effectively across network strategy, actuarial or finance, medical economics, analytics or data science, technology, and business stakeholders.
- Proven executive and client communication skills, including simplifying complex network and economic concepts, navigating differing subject-matter expert perspectives, and translating them into clear decisions and product opportunities.
- Demonstrated innovation and AI orientation, including the ability to identify where AI, automation, advanced analytics, or emerging technology can create meaningful customer or business value.
- Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
- Candidates are required to pass a drug test before beginning employment.
Nice To Haves
- Formal product management, product strategy, or commercialization experience in healthcare technology or analytics.
- Experience with payer network optimization use cases such as steerage, leakage, network adequacy, provider performance, or network design.
- Familiarity with the AI Development Lifecycle.
Responsibilities
- Own the Network Optimization product strategy, roadmap, prioritization, delivery, commercialization, and outcome goals within Value Connect.
- Prioritize high-value use cases across network strategy and value-based network design, access, adequacy, provider performance, referrals, leakage, steerage, site of service, accountable care organization fit, alternative payment model fit, shared savings, and cost-of-care improvement.
- Translate network strategy, healthcare economics, benchmarks, simulations, and analytics into trusted decision-support workflows rather than static dashboards or retrospective reporting.
- Partner with engineering, UX, data science, architecture, actuarial, medical economics, network strategy, advisory, clinical, compliance, and go-to-market teams to deliver scalable capabilities.
- Ensure product logic, AI-enabled insights, and recommendations are explainable, evidence-backed, user-centered, and aligned to client value and measurable ROI.
- Communicate roadmap decisions, tradeoffs, dependencies, risks, value story, and performance outcomes clearly to senior stakeholders, clients, and commercial partners.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
No Education Listed
