Director, Risk Adjustment Products – Remote

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.  

 

This Product team is a part of the Risk Adjustment and Quality Domain of Optum Insight. It includes Retrospective and Prospective services and a total team of 45 members – here and offshore. This role will over see one of the product lines, Retrieval Interoperability

Director of Product role will oversee the development, implementation, and strategic direction of risk adjustment products within Optum Insight. Key responsibilities include managing product roadmaps, ensuring regulatory compliance, leading cross-functional teams, and driving performance improvements in risk adjustment operations. 

You will be responsible for managing Risk Adjustments Products for payers and/or providers.

There are 13 team members reporting into this role and will work closely with 4 of the product peers.

 

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

 

Primary Responsibilities: 

• Product Strategy and Roadmap Development
  • Leads the product strategy, development and continuous refinement of the firm’s risk adjustment product roadmap, ensuring it aligns with strategic goals and industry best practices 
• Team Leadership
  • Leads and manages teams, often geographically dispersed, responsible for risk adjustment activities, ensuring high performance and employee engagement 
• Operational Excellence 
  • Oversee the performance of automated processes, such as AI-driven chart reviews, and ensure operational excellence in risk adjustment operations 
• Customer Facing
  • Serve as a subject matter advisor and primary point of contact for health clients, proactively identifying and communicating risks and improvement opportunities, and ensuring client satisfaction 
• Strategic Planning
  • Contribute to the development of long-range goals and objectives for risk adjustment programs, incorporating best practices and emerging trends 
• Cross Functional collaboration and Stakeholder Management
  • Work with various departments, including revenue management, coding, and compliance, to align activities and promote objectives 
  • Build and maintain solid relationships with both internal and external stakeholders, including providers, vendors, and regulatory bodies 

 

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: 

• 8+ years of experience in Product Management and 3+ years in Product leadership role
• Experience with Risk Adjustment Products, developing and executing risk adjustment strategies, managing the retrieval and interoperability roadmap, improving retrieval yield, and supporting commercial client growth
• Experience building the product strategy from scratch, creating the roadmap and executing with the Technology and Operation stakeholders 
• Experience with managing a team of 5 or more direct reports and manage cross-functional teams
• Proven effective communication skills to clearly explain complex concepts to both technical and non-technical audiences, ability to influence stakeholders 

 

Preferred Qualifications:

• Experience managing Risk Adjustments Products for payers and/or providers
• Understanding of risk adjustment methodologies, including HCCs, CRGs, and other risk adjustment models used by CMS and commercial health plans 
• Understanding of Medical Record Review, digital channels and interoperability and experience in chart retrieval products or operations

 

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

 

The salary range for this role is $124,500 to $239,400 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.