For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
Reporting directly to the Vice President of Federal Capability and Solutions, this position is tasked with developing and managing federal capabilities and services to meet the needs of federal government clients, including agencies such as the Department of Defense, Department of Veterans Affairs, and Department of Health and Human Services. The role requires alignment with business and product line strategies, deep market and domain expertise, and effective oversight of a capability design, development, and ongoing management to ensure both business-specific and enterprise-wide impact.
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:
Accountable for the Federal Utilization Management (UM) capability within a broader Medical Management portfolio, ensuring alignment with Optum Serve's strategic, operational and product line growth objectives
Monitor and interpret market, regulatory, and customer trends to anticipate federal customer needs and inform compelling business cases, value propositions and customer narratives
Design, document and implement new or enhanced business processes that enable scalable, compliant and efficient utilization management operations
Partner with technology, data and architecture teams to translate capability and operational requirements into system requirements, solution designs and roadmaps
Support implementation readiness by validating that systems and technology designs enable efficient operations, reporting, and performance measurement
Develop use-case and scenario-based requirements that illustrate customer / market needs to inform prioritization, and support efficient development and delivery
Develop and maintain capability artifacts (e.g., descriptions, workflows, operating models, assumptions, dependencies), ensuring alignment across business, operational, and technical stakeholders
Identify, assess, and document solution risks and vulnerabilities, and develop practical mitigation strategies to support successful delivery
Translate a deep understanding of federal customer requirements into a differentiated capability that considers Optum Serves business priorities and operating model
Serve as the capability lead on assigned pursuits, serving as a subject matter expert to develop comprehensive, compliant and executable capability documentation
Key Success Factors:
Fosters teamwork and collaboration
Communicates with impact
Presents effectively
Listens actively
Influences and negotiates
Market intelligence
Business acumen
Executive presence
Cross functional influence and collaboration
Decision making
Ability to navigate organizational complexity
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:
5+ years of experience in product and/or capability management or closely related role within a complex operational environment
Domain experience in clinical capability development
Experience translating business and operational needs into clear, scalable capability requirements that can be built and sustained over time
Experience documenting, iterating, and managing product and or capability-related artifacts, with solid stakeholder alignment and cross-functional coordination
Experience operating across complex problem spaces where cross-functional alignment is critical
Experience leading capability definition and development across a full lifecycle (strategy, design, build and ongoing management)
Willingness and ability to travel up to 25%
Preferred Qualifications:
Experience in the healthcare industry
Experience with healthcare technology
Experience adapting quickly to changes in work direction and able to pivot work accordingly
Experience developing creative solutions to complex problems
Experience using data and research to formulate strategic business recommendations
Understanding of Department of Defense (DOD), Veterans Administration (VA) and Health and Human Services (HHS) markets
Familiarity with UM-related platforms, workflows, or integrations (e.g., clinical review systems, case management tools, data and reporting solutions)
Proven ability to balance strategic thinking with the urgency to drive work forward
Proven team player with solid ability to form working professional relationships
*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 to $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.
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.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
