Job Description

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.

As a Capability Manager for Payment Integrity, you are responsible for specific services, functions, and solutions available internally or as a supporting element of a product. Positions in this function play a critical role in ability to deliver products to market and/or manage internal business functions. Capability management requires alignment to business and/or product strategy, effective design and development, and ongoing management of capability portfolio across the full lifecycle to ensure business-specific or cross-enterprise impact. Market insights are leveraged to monitor trends and external landscape, and to inform capability strategies and customer use case scenarios. Positions in this function are accountable for delivering sustainable, financially sound solutions that solve a specific problem and enable successful external product delivery and/or internal business function performance, while driving adoption with internal business clients and define future capability direction that supports business strategy and new opportunities.

Primary Responsibilities:

• Supports end-to-end coordination and alignment for product-related activities
• Drive business work within the Agile process, sharing Business vision
• Understand and translate Features into User Stories that will be groomed and developed by Product Development
• Own the product at a User Story level, using Roadmap and Capabilities as a guide
• Work closely with Optum IT Developments & Architecture, Finance and Business Teams to forecast and attack product-line investments
• Provides oversight of release activities for the Business (i.e. communication, documentation, training and release notes, etc.). Works with the Program / Project Manager, User Acceptance Testing and Operational Readiness leads to ensure all stakeholder needs are addressed in the deployment plan
• Ensures all system business rules and configurations meet regulatory, compliance and operational needs, and facilitates solutions between groups if discrepancies exist
• Benefit quantification related to driving prioritization and describing the value story for the product road map. Capital planning activities
• Represents Our United Culture missions and values in all activities, demonstrating exemplary customer service with internal and external team members
• Works well in a matrix environment across cross - functional teams
• Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements

Required Qualifications:

• Graduate degree or equivalent experience
• 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 from client/business stakeholders
• Proven ability to problem solve including multiple priorities and research conflicting and/or inaccurate data
• Solid proficiency in Excel and PowerPoint
• Comfort facilitating presentations to large groups and remote audiences

Preferred Qualifications:

• Certification in Product Management or Agile scrum
• Lean / Six Sigma trained
• 3+ years of experience in healthcare operations - payment integrity, claim, and/or provider operations Solidly preferred
• Proven excellent written and verbal communication skills, including presentations to all levels of project governance
• Experience in specific product content area, highly preferred

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.