Senior Product Manager - Fraud and Abuse Detection - Payment Integrity - Remote

UnitedHealth Group•Eden Prairie, MN

15d•$112,700 - $193,200•Remote

About The Position

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 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 Intelligent Fraud Detection products. This role offers the opportunity to take an early-stage product from pilot to scale, shaping the product strategy, commercialization path, and broader market launch. 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 Build it, don't inherit it. This is a genuine pilot-to-scale opportunity. The decisions you make on strategy, packaging, and go-to-market won't refine an existing playbook - they'll write it Fight fraud at industry scale. You'll apply data science, network analytics, and machine learning to uncover emerging fraud patterns and turn them into detection capabilities and workflows that protect payers and the healthcare system Own the full arc - pilot to market. Few product roles let one leader shape a product from early proof through commercialization and scale. You'll have that end-to-end mandate, working alongside senior leaders across product, engineering, data science, and go-to-market 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.

Requirements

7+ years of experience in product management, product strategy, and/or business transformation
5+ years of experience in fraud and abuse domains within payment integrity
3+ years of experience working with data intensive products in collaboration with data science teams
Experience working in healthcare industry preferably in a payment integrity domain
Experience launching and scaling 0-1 products in data intensive, cloud based, or AI enabled platforms
Solid understanding of how advanced analytics, network analysis, anomaly detection, or machine learning can be applied to detect fraudulent provider, member, or billing behavior
Own product strategy, roadmap, and end-to-end delivery of complex healthcare products or initiatives that improve fraud and detection accuracy, driving 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 and workflows
Demonstrated ability to partner with engineering, AI/ML, and data science teams to deliver innovative, data-driven capabilities
Demonstrated ability to work with data science teams to define model objectives, evaluate performance, interpret outputs, and translate findings into actionable product features and workflows

Nice To Haves

Product or Agile certifications such as CSPO, PSPO, SAFe POPM, or similar
Hands-on experience integrating AI into product design, development, or ongoing management
Experience launching and scaling products in data intensive, cloud based, or AI enabled platforms
Experience leading or mentoring other product professionals, or partnering closely with engineering leaders to deliver outcomes (not just outputs)
Demonstrated experience leading senior level presentations, workshops, or stakeholder forums
Working knowledge of Optum and/or UnitedHealth Group
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 translate ambiguous business challenges into scalable product solutions and actionable roadmaps
Demonstrated ability to lead cross-functional teams and influence senior stakeholders to align priorities and execute strategic initiatives
Demonstrated ability to extract actionable insights from large, heterogeneous datasets

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, 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. Shape the product strategy for using data science, AI, and network analytics to uncover emerging fraud patterns and drive new fraud detection capabilities & workflows for clients.
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.