UnitedHealth Group

Senior Product Manager - Fraud and Abuse Detection - Payment Integrity - Remote

UnitedHealth Group$112K — $193K *
US-AnywhereRemote in Eden Prairie, MN
Enterprise Technology
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years in product management or strategy
  • 5+ years in fraud domains within payment integrity
  • 3+ years collaborating with data science teams
  • Experience in healthcare payment integrity
  • Proven track record launching 0-1 products in data-intensive environments
  • Understanding of advanced analytics and machine learning in fraud detection
  • Experience driving measurable outcomes in healthcare product delivery

Responsibilities

  • Define the market vision and product strategy
  • Translate market needs into actionable product direction
  • Create actionable roadmaps and deliverables from strategy
  • Collaborate with cross-functional teams for data-driven solutions
  • Monitor product performance and adapt strategies accordingly
  • Partner with go-to-market teams for product expansion
  • Identify emerging market trends and adjust the roadmap

Benefits

  • Flexible remote work options within the U.S.
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase options
  • 401k contributions
  • Professional development opportunities
Full Job Description
The Senior Product Manager is a strategic product leader responsible for defining and executing the product strategy for one of Optum Payment Integrity's Intelligent Fraud Detection products. This role offers the opportunity to take an early-stage product from pilot to scale, shaping the product strategy, commercialization path, and broader market launch.

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.

Why this role

  • Build it, don't inherit it. This is a genuine pilot-to-scale opportunity. The decisions you make on strategy, packaging, and go-to-market won't refine an existing playbook - they'll write it
  • Fight fraud at industry scale. You'll apply data science, network analytics, and machine learning to uncover emerging fraud patterns and turn them into detection capabilities and workflows that protect payers and the healthcare system
  • Own the full arc - pilot to market. Few product roles let one leader shape a product from early proof through commercialization and scale. You'll have that end-to-end mandate, working alongside senior leaders across product, engineering, data science, and go-to-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.

Primary 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, 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
  • Shape the product strategy for using data science, AI, and network analytics to uncover emerging fraud patterns and drive new fraud detection capabilities & workflows for clients


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


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.

Required Qualifications:

  • 7+ years of experience in product management, product strategy, and/or business transformation
  • 5+ years of experience in fraud and abuse domains within payment integrity
  • 3+ years of experience working with data intensive products in collaboration with data science teams
  • Experience working in healthcare industry preferably in a payment integrity domain
  • Experience launching and scaling 0-1 products in data intensive, cloud based, or AI enabled platforms
  • Solid understanding of how advanced analytics, network analysis, anomaly detection, or machine learning can be applied to detect fraudulent provider, member, or billing behavior
  • Own product strategy, roadmap, and end-to-end delivery of complex healthcare products or initiatives that improve fraud and detection accuracy, driving 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 and workflows
  • Demonstrated ability to partner with engineering, AI/ML, and data science teams to deliver innovative, data-driven capabilities
  • Demonstrated ability to work with data science teams to define model objectives, evaluate performance, interpret outputs, and translate findings into actionable product features and workflows


Preferred Qualifications:

  • Product or Agile certifications such as CSPO, PSPO, SAFe POPM, or similar
  • Hands-on experience integrating AI into product design, development, or ongoing management
  • Experience launching and scaling products in data intensive, cloud based, or AI enabled platforms
  • Experience leading or mentoring other product professionals, or partnering closely with engineering leaders to deliver outcomes (not just outputs)
  • Demonstrated experience leading senior level presentations, workshops, or stakeholder forums
  • Working knowledge of Optum and/or UnitedHealth Group
  • 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 translate ambiguous business challenges into scalable product solutions and actionable roadmaps
  • Demonstrated ability to lead cross-functional teams and influence senior stakeholders to align priorities and execute strategic initiatives
  • Demonstrated ability to extract actionable insights from large, heterogeneous datasets


*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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