Capability Manager, Payment Integrity - Remote

UnitedHealthcare; Minnetonka (MN); Remote; USD 90,000 - 140,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentives

Equity stock purchase

401k contributions

Job summary

A healthcare services company is looking for a Capability Manager for Payment Integrity. This remote role requires experience in Agile processes and healthcare operations. The responsibilities include product management, collaboration with IT, and ensuring alignment of product activities. Benefits include a comprehensive compensation package, equity stock purchase, and 401k contributions.

Qualifications

• 4+ years of leading business/operational activities related to application implementations.
• 3+ years of experience with Agile processes.
• 3+ years of experience in healthcare operations.
• 3+ years of experience in healthcare operations – payment integrity, claim, and/or provider operations.
• Proficient in Excel and PowerPoint.

Responsibilities

• Support coordination for product-related activities.
• Drive business work within the Agile process.
• Collaborate with IT Developments & Architecture.
• Own the product at a user story level, guided by Roadmap and Capabilities.
• Collaborate with IT Developments & Architecture, Finance and Business Teams to forecast and address product-line investments.
• Provide oversight of release activities for the business (communication, documentation, training, release notes); work with Program/Project Manager, UAT and Operational Readiness leads to ensure deployment plan meets stakeholder needs.

Skills

Agile processes

Problem-solving

Excel

PowerPoint

Tools

Excel

PowerPoint

Job description

Overview

Capability Manager, Payment Integrity - Remote at UnitedHealthcare. This role focuses on capability management for payment integrity services, aligning with business and product strategy, and delivering sustainable, financially sound solutions that enable external product delivery and internal function performance. Remote work is available from anywhere in the U.S.

Primary Responsibilities

• Supports end-to-end coordination and alignment for product-related activities
• Drive business work within the Agile process, sharing the business vision
• Understand and translate features into user stories to be groomed and developed by Product Development
• Own the product at a user story level, guided by Roadmap and Capabilities
• Collaborate with Optum IT Developments & Architecture, Finance and Business Teams to forecast and address product-line investments
• Provide oversight of release activities for the business (communication, documentation, training, release notes); work with Program/Project Manager, UAT and Operational Readiness leads to ensure deployment plan meets stakeholder needs
• Ensure system business rules and configurations meet regulatory, compliance and operational needs; facilitate cross-group solutions when discrepancies exist
• Quantify benefits related to prioritization and describe the value story for the product roadmap; participate in capital planning activities
• Represent United Culture missions and values, delivering exemplary customer service with internal and external team members
• Work effectively in a matrix environment across cross-functional teams

Required Qualifications

• 4+ years of leading business/operational activities related to application implementations/development
• 3+ years of experience with Agile processes, including development of user stories and gathering business requirements
• 3+ years of experience in healthcare operations – payment integrity, claim, and/or provider operations
• Solid proficiency in Excel and PowerPoint
• Proven ability to solve problems with multiple priorities and research conflicting or inaccurate data
• Experience driving process mapping, gap analysis and solutioning discussions with business, operations and technology teams

Preferred Qualifications

• Product Management or Agile Scrum certification
• Lean/Six Sigma training
• Experience in specific product content area
• Excellent written and verbal communication skills, including presentations to all levels of project governance
• Remote employees must adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on factors including local labor markets, education, experience, and certifications. In addition to salary, benefits include a comprehensive package, incentives, equity stock purchase and 401k contribution where eligible.

Duty to comply with minimum wage laws as applicable. This posting may remain for a minimum of 2 business days or until a sufficient candidate pool is collected. The role may close early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities.