Senior Product Manager - Professional Clinical/Coding Claims Review - Payment Integrity - Remote

UnitedHealth Group•Eden Prairie, MN

10d•$112,700 - $193,200•Remote

About The Position

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. 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. 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.

Requirements

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

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)
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

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.