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

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Product Manager - Fraud and Abuse Detection - Payment Integrity - Remote (2372441) Senior Product Manager - Fraud and Abuse Detection - Payment Integrity - Remote - 2372441 Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. 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. 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. UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call View phone number on click.appcast.io to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Optum