Senior Product Manager - Provider Claims - Payment Integrity - RemoteEmbedded

External Listing
{
  "source": {
    "name": "linkedin",
    "id": "4448692812",
    "url": "https://www.linkedin.com/jobs/view/senior-product-manager-provider-claims-payment-integrity-remote-at-optum-4448692812"
  },
  "postedDate": "2026-08-31T17:12:05.035Z",
  "applicationDeadline": null,
  "isActive": true,
  "isExpired": false,
  "matching": {
    "role": {
      "primaryTitle": "Senior Product Manager",
      "titleSynonyms": [
        "Product Manager",
        "Senior Product Owner"
      ],
      "secondaryTitles": [],
      "function": "business_administration_professionals",
      "functionConfidence": "high",
      "roleFamily": "m122_sales_marketing_development_managers",
      "roleFamilyConfidence": "medium",
      "roleSubFamily": null,
      "roleSubFamilyConfidence": "unknown",
      "seniority": "senior",
      "industries": [
        "i2081_hospitals"
      ]
    },
    "primarySignals": {
      "tasks": [
        "Define and execute product strategy and roadmap for professional claim review products",
        "Collaborate with AI/ML, analytics, and data science teams to develop data-driven healthcare reimbursement solutions",
        "Lead product development, prioritization, and execution to improve reimbursement accuracy and client outcomes",
        "Partner with go-to-market, sales, and marketing teams to drive product adoption and market growth",
        "Monitor market, regulatory, and competitive trends to inform product roadmap"
      ],
      "skills": [
        "Product management",
        "Product strategy",
        "Healthcare payment integrity",
        "Professional claims processing",
        "Reimbursement methodologies including CPT/HCPCS, E/M coding, NCCI edits, RBRVS",
        "Data analytics",
        "AI/ML collaboration",
        "Cross-functional team leadership",
        "Business transformation",
        "Analytical and systems thinking"
      ],
      "tools": [
        "AI/ML platforms",
        "Data science tools",
        "Analytics software"
      ],
      "educationLevel": 3,
      "educationKeywords": [
        "MBA",
        "Business strategy",
        "Technology",
        "Product leadership"
      ],
      "certifications": [
        "CSPO",
        "PSPO",
        "SAFe POPM"
      ],
      "languages": [],
      "yearsRelevant": 7
    },
    "secondarySignals": {
      "tasks": [
        "Mentor other product professionals",
        "Communicate product strategy to executive and technical audiences",
        "Support pricing, packaging, and positioning strategies"
      ],
      "skills": [
        "Agile methodologies",
        "Healthcare provider analytics",
        "Coding validation",
        "Reimbursement policy",
        "Provider billing and revenue cycle knowledge"
      ],
      "tools": [
        "Clinical documentation technologies",
        "Automation tools"
      ],
      "educationLevel": null,
      "educationKeywords": [],
      "certifications": [],
      "languages": [],
      "yearsRelevant": null
    },
    "practical": {
      "locations": [
        "United States"
      ],
      "locationProvenance": "stated",
      "countries": [
        "US"
      ],
      "workModes": [
        "remote"
      ],
      "workModeProvenance": "stated",
      "employmentTypes": [
        "full_time"
      ],
      "compensation": {
        "min": 112700,
        "max": 193200,
        "currency": "USD",
        "period": "year"
      }
    },
    "dataCompleteness": "high"
  },
  "indexing": {
    "function": "business_administration_professionals",
    "functionConfidence": "high",
    "roleFamily": "m122_sales_marketing_development_managers",
    "roleFamilyConfidence": "medium",
    "countryCode": "US",
    "countryCodeConfidence": "high",
    "locationBucket": "international_other",
    "locationBucketConfidence": "high",
    "workMode": "remote",
    "workModeConfidence": "high",
    "employmentType": "full_time",
    "employmentTypeConfidence": "high",
    "isAgency": "direct",
    "salaryMax": 142541,
    "industryGroup": "i2081_hospitals",
    "industryGroupConfidence": "high",
    "educationRequired": 3,
    "educationRequiredConfidence": "high"
  },
  "display": {
    "title": "Senior Product Manager - Provider Claims - Payment Integrity - Remote",
    "company": {
      "name": "Optum"
    },
    "locationDisplay": "Eden Prairie, MN",
    "applicationUrl": null
  },
  "roleFamilyEsco": "m122_sales_marketing_development_managers",
  "requirementsEssentiality": {
    "items": [
      {
        "text": "7+ years of experience in product management, product strategy, and/or business transformation",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "5+ years of experience in professional claims within payment integrity",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "Experience leading cross-functional teams and influence senior stakeholders to align priorities and execute strategic",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "Experience with professional and behavioral health reimbursement methodologies including CPT/HCPCS and E/M coding; NCCI",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "Own product strategy, roadmap, and end-to-end delivery of complex healthcare products or initiatives that improve",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "Demonstrated ability to work with data science teams to define model objectives, evaluate performance, interpret outputs",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "Demonstrated ability to partner with engineering, AI/ML, and data science teams to deliver innovative, data-driven",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "Demonstrated success modernizing, repositioning, or transforming an established product through changing market",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "Demonstrated solid analytical and systems‑thinking skills, with the ability to translate complex problems into clear",
        "category": "skill",
        "essentiality": "compulsory",
        "triggerPhrase": "Required Qualifications",
        "confidence": "high"
      },
      {
        "text": "MBA or equivalent experience in business strategy, technology, or product leadership",
        "category": "education",
        "essentiality": "preferred",
        "triggerPhrase": "Preferred Qualifications",
        "confidence": "high"
      },
      {
        "text": "Product or Agile certifications such as CSPO, PSPO, SAFe POPM, or similar",
        "category": "certification",
        "essentiality": "preferred",
        "triggerPhrase": "Preferred Qualifications",
        "confidence": "high"
      },
      {
        "text": "Experience leveraging large healthcare datasets, provider analytics, or claim-level data to identify opportunities,",
        "category": "skill",
        "essentiality": "preferred",
        "triggerPhrase": "Preferred Qualifications",
        "confidence": "high"
      },
      {
        "text": "Experience leading or mentoring other product professionals, or partnering closely with engineering leaders to deliver",
        "category": "skill",
        "essentiality": "preferred",
        "triggerPhrase": "Preferred Qualifications",
        "confidence": "high"
      },
      {
        "text": "Experience in U.S. healthcare payment integrity, professional claims, coding validation, reimbursement policy, provider",
        "category": "skill",
        "essentiality": "preferred",
        "triggerPhrase": "Preferred Qualifications",
        "confidence": "high"
      },
      {
        "text": "Working knowledge of Optum and/or UnitedHealth Group",
        "category": "skill",
        "essentiality": "preferred",
        "triggerPhrase": "Preferred Qualifications",
        "confidence": "high"
      },
      {
        "text": "Demonstrated understanding of how AI, automation, and clinical documentation technologies are changing provider coding,",
        "category": "skill",
        "essentiality": "preferred",
        "triggerPhrase": "Preferred Qualifications",
        "confidence": "high"
      }
    ]
  }
}