Director, InterQual Interoperability – 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

This Director of InterQual Interoperability will be responsible for bringing to market a new suite of capabilities that will help payers meet regulatory requirements related to prior authorization and the solicitation and delivery of required documentation with providers in interoperable formats. The Director will collaborate with key stakeholders (e.g., technical product management, engineering, finance, client-facing services teams, Optum leadership) to drive the development of solutions that address our clients’ top priorities. They will design a go-to-market strategy anchored on enabling our clients to achieve outcomes, and partner with cross-functional leadership to build and deploy capabilities that enable us to develop and innovate best in class Decision Support technology and services.

 

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

 

Primary Responsibilities:

• Responsible for full product lifecycle management, including strategy, design, development, and management of InterQual prior authorization solutions
• Accountable for delivering product performance against expectations and updates to a product portfolio to improve competitive position, and optimal product performance to meet customer market needs
• Provides leadership, management, coaching, and/or mentoring to business unit Product team
• Prioritize product roadmap initiatives using data-driven and customer centric approach
• Work with engineering architects and Product Managers to define requirements, initiate development projects, and assist in determining the best implementation methods
• Support sales, marketing, and business development teams as subject matter expert through participation in customer and partner calls and marketing activities

 

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 product management experience
• 3+ years of utilization management or prior authorization experience
• 3+ years of interoperability experience
• Willing and able to travel up to 10% nationally

 

Preferred Qualifications:

• Proven ability to drive alignment in matrixed organization
• Ability to work under tight deadlines and handle multiple/detail-oriented tasks 
• Ability to influence at all levels of the organization 
• Experience working with and developing technical integration with external partners 
• Experience building, leading, and managing cross-functional initiatives, including a deep understanding of how to structure initiatives and all related operational functions
• Proven ability to lead product discovery work as well as to boil down market findings into new product/enhancement ideas

 

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

 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $122,100 to $234,700 annually. 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.

 

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.