Capability Manager, Payment Integrity

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? 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.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

 

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 

 

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:

• 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
• 3+ years of experience in healthcare operations – payment integrity, claim, and/or provider operations
• 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 Qualification:

• Certification in Product Management or Agile scrum 
• Lean / Six Sigma trained
• Experience in specific product content area
• Excellent written and verbal communication skills, including presentations to all levels of project governance

 

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

 

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

 

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.

 

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.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.