Senior Product Manager - InterQual Connect and InterQual Medical Review Service -OI Product - Remote

UnitedHealth Group•Boston, MA

13d•$112,700 - $193,200•Remote

About The Position

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. InterQual is the gold-standard evidence-based criteria set for Utilization Management and Medical Necessity. InterQual Connect and InterQual Medical Review Service are Optum’s flagship clinical decision support technology, supporting more than 1,200 customers and approximately 100 partner application integrations across utilization management and prior authorization workflows. This Senior Product Manager owns product strategy, roadmap, prioritization, and commercial enablement for both the InterQual Medical Review Service integrated user application and InterQual Connect - the underlying platform that serves InterQual Exchange, AutoReview, InterQual Customize, and InterQual Auth Accelerator products. 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 product management experience spanning strategic roadmap ownership and tactical delivery
Experience owning a technical integration surface consumed by external partners or resellers. Capable of producing and maintaining integration acceptance testing framework including versioning, deprecation, and migration
Experience producing long-term roadmaps in standard road mapping tool and rationalizing those roadmaps across stakeholder groups
Experience writing Product Requirements Documents (PRDs), Roadmap Initiatives (RMIs), or other similar business/technical requirements specifications
Experience producing a release schedule and bottoms-up plan showing a release cadence for a multi-tenant SaaS or platform product
Working knowledge of healthcare interoperability standards, with HL7 FHIR required; SMART on FHIR, C-CDA, and HL7 v2
Track record of establishing intake and triage mechanisms for a high-demand product or platform
Proven ability to prioritize credibly across competing initiatives and communicate the rationale to executive, engineering, and commercial audiences

Nice To Haves

Experience with payer utilization management, prior authorization, or claims systems, including clinical data and business rules
Experience with SAFe or scaled PI planning; familiarity with Aha! and Rally and SDLC planning tools
Understanding of AI workflows and how they integrate into clinical or operational decision-making
Working knowledge of HIPAA and related regulatory frameworks as applied to data integration and PHI handling

Responsibilities

Roadmap ownership. Own and maintain the roadmap for the integrated user application and the backend platform. Partner with engineering leadership on capacity planning and lead quarterly increment planning end to end. Produce an ongoing 12-18 month roadmap that aligns with OptumInsight standard roadmap formats and tools
Prioritization and release ownership. Rank and prioritize features and initiatives across the portfolio. Set release scope and the annual release calendar, triage defects and items, approve production and government cloud releases, and approve PHI enablement where a valid BAA and written customer authorization are on file. Be accountable for prioritization decisions and rationalizations to internal and external stakeholders at multiple org levels
Demand arbitration. Own the intake decision on roadmap requests from partner product teams (InterQual Exchange, AutoReview, Customize, and Auth Accelerator) as well as from Sales, Customers, and downstream service organizations. Set the definition-of-ready those teams meet before platform work is scheduled and maintain a prioritization rationale that leadership and partner teams can act on
Product definition. Author clear initiative-level Product Requirements Documents (PRDs) and business cases. Support technical product management team on feature-level grooming as needed. Support Senior Director in modeling benefits of roadmap for semi-annual capital budgeting/planning
Partner and integration strategy. Own the technical relationship and roadmap with Alliance Partners (including major EHR and UM platform vendors). Maintain validation program including API versioning, partner migration, and adoption strategy
Commercial enablement. Work with Senior Director to design and define product positioning, packaging, pricing input, and portfolio alignment. Own launch readiness with Sales, Account Management, and Customer Experience. Produce sales enablement materials and facilitate webinars and field briefings. Support Pre-sales on deal-level and RFP support as needed
Market and customer insight. Conduct structured customer and partner listening to inform strategy, and act as senior subject matter expert in customer, partner, and field-enablement engagements