Sr Director, Product - Payment Integrity - Remote

UnitedHealth Group•Eden Prairie, MN

4h•$159,300 - $273,200•Remote

About The Position

Optum Insight is hiring a senior product leader to own the strategy and evolution of its Clinical and Coding Review product portfolio within Payment Integrity. The portfolio includes scaled offerings and emerging capabilities addressing clinical, coding, reimbursement and payment accuracy challenges across the claims lifecycle. The role sets the portfolio vision, multi-year roadmap and investment priorities, and drives outcomes in client value, affordability, growth, adoption and financial performance. This highly visible leadership position influences strategy and decisions across Product, Technology, AI and Analytics, Operations, Finance and Commercial teams, as well as with clients and senior Optum leaders. The leader will guide portfolio choices involving investment, modernization, new product development, partnerships, scaling and rationalization, while advancing responsible, scalable and commercially viable AI-enabled solutions. The role also leads and develops product leaders and teams, establishes clear accountability and outcome-based product practices, and serves as the senior product representative to strategic clients and industry stakeholders. The position is remote within the U.S.; hires in the Minneapolis or Washington, D.C. area must work in the office at least four days per week. Remote employees must follow UnitedHealth Group’s Telecommuter Policy.

Requirements

10+ years of experience in product management, portfolio leadership, technology-enabled healthcare solutions, platform leadership and/or business transformation.
8+ years of healthcare experience, with significant experience in payment integrity, healthcare payments, reimbursement, claims, revenue cycle management, clinical solutions, coding solutions or closely related domains.
Demonstrated experience leading a portfolio of products, major product lines or complex enterprise solutions, with accountability for strategy, investment priorities and measurable business and client outcomes.
Experience developing multi-year product and portfolio strategies and translating them into investment roadmaps, commercialization plans and execution priorities.
Experience leading technology-, data-, analytics- and/or AI-enabled products in complex enterprise environments.
Experience with go-to-market strategy, including positioning, pricing, packaging, launch readiness, growth strategy and value measurement.
Demonstrated success leading product leaders and teams and influencing senior executives across highly matrixed organizations.
Ability to use financial, market, operational and product data to evaluate investments, manage portfolio tradeoffs and translate complex healthcare challenges into scalable product strategies.
Demonstrated executive communication and influence skills, including the ability to create alignment around complex strategic decisions.

Nice To Haves

Experience in business strategy, technology, healthcare or product leadership.
Experience leading product portfolios within healthcare payment integrity, claims, reimbursement, revenue cycle, clinical review or coding review.
Experience launching and scaling enterprise B2B, SaaS, data, analytics or AI-enabled products in complex, regulated environments.
Experience applying AI, machine learning or advanced analytics to clinical decision support, coding, payment review, workflow automation or healthcare affordability.
Deep knowledge of healthcare reimbursement methodologies, clinical and coding review, provider revenue cycle, reimbursement policy, claims payment and/or health plan affordability.
Working knowledge of Optum and/or UnitedHealth Group.
Direct payment integrity experience is highly valued; candidates with deep experience in adjacent claims, reimbursement, clinical/coding, revenue cycle or healthcare technology domains and success leading complex product portfolios are also encouraged to apply.

Responsibilities

Define and own the vision, strategy, multi-year roadmap and investment priorities for the Clinical and Coding Review portfolio.
Translate client needs, reimbursement trends, competitive dynamics, technology advances and business performance into portfolio choices involving growth, modernization, new products, partnerships and rationalization.
Drive portfolio performance across growth, affordability impact, client value, adoption, product health and financial outcomes.
Partner with Finance, Operations and Commercial leadership on business plans, commercialization, pricing, packaging and value realization.
Evaluate build, buy, partner, modernize, scale and rationalize decisions based on client value, strategic differentiation and return on investment.
Evolve established products and identify and develop new capabilities for emerging clinical, coding and reimbursement challenges.
Identify opportunities for AI, advanced analytics and automation to improve accuracy, reviewer productivity, scalability, client value and payer and provider experiences.
Partner with Technology, AI/ML, Analytics, Data Science and Operations to turn opportunities into responsible, scalable and commercially viable products.
Balance near-term client and business priorities with platform modernization, shared capabilities and long-term portfolio strategy.
Lead, coach and develop product leaders and teams responsible for portfolio products and capabilities.
Establish clear accountability, decision rights and outcome-based product management practices.
Align Product, Technology, Analytics, Operations, Finance and Commercial leaders on priorities, investment decisions and execution.
Partner with Payment Integrity leadership to shape broader product, platform, investment and business strategy.
Represent the portfolio as senior product leader with strategic clients, industry stakeholders and executive audiences.
Lead executive-level discovery and roadmap discussions to uncover unmet needs, validate opportunities and inform investment decisions.
Anticipate changes in reimbursement, policy, technology, AI, payment models, and payer and provider behavior to identify opportunities and risks.
Partner with Commercial leadership to strengthen market position and communicate a differentiated Clinical and Coding Review value proposition.