Senior Capability Manager 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.  

Join our team at Optum Insight, where we are leveraging cutting-edge AI and machine learning technologies to revolutionize healthcare delivery, enhance customer engagement, and drive innovation across our digital platforms.

We are seeking a strategic and solutions-oriented professional to manage capabilities that support our ancillary benefits management products. This role focuses on ideating, supporting research, translation of research into policy and helping enforce via our editing capabilities. You will be responsible for the policy functions of our portfolio and align capabilities with business and product strategies, monitor market trends to inform future direction, and ensure sustainable, impactful solutions.

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

Primary Responsibilities:

• Leverage AI tools to enhance productivity and innovation by streamlining workflows and automating repetitive tasks.
• Evaluate emerging trends to drive continuous improvement and strategic innovation
• Operate independently with minimal direction
• Demonstrate flexibility and solid collaboration skills
• Develop and refine processes for policy ideation and implementation
• Collaborate with product leaders and subject matter experts to drive policy initiatives
• Partner with the Chief Medical Officer to research and evaluate new ideas
• Translate research and white papers into actionable policy documents
• Influence and guide the prioritization of policy and rule development within product roadmaps
• Build cross-functional partnerships across product, medical, operations, sales, and rules teams to solve complex user experience challenges
• Proactively manage and resolve product issues, ensuring clear prioritization and transparent communication
• Serve as a subject matter expert for ABM solutions, supporting operations, product, and go-to-market 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:

• 10+ years of experience working in a complex, matrixed organization
• 7+ years of Healthcare Industry experience (Healthcare reimbursement, claims adjudication, procedure/diagnosis coding knowledge)
• 7+ years of experience using data to analyze opportunities and outcomes to drive decisions
• 5+ years of experience interfacing with Clients 
• 2+ years of experience writing policies
• Experience working with medical directors and translating research into policies and automated enforcement
• Experience utilizing solid collaboration and communication skills to work effectively in a virtual environment
• Experience utilizing solid organizational skills
• Proven excellent time management, organizational, and prioritization skills and ability to balance multiple priorities  
• Proven ability to work with an emerging solution that involves ambiguity and flexibility

Preferred Qualifications:

• Experience with Aha and Rally
• Familiarity with the UHG matrix

*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 $110,200 to $188,800 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.