Product Implementation Analyst - FWA Solutions - 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.

Role Summary

The Product Implementation Analyst for Fraud, Waste, and Abuse (FWA) Solutions plays a key role in delivering and supporting state Medicaid program integrity products. This role bridges product functionality, client needs, and technical implementation. You will work closely with state agency clients, internal product teams, and engineering partners to ensure successful deployment, configuration, adoption, and ongoing optimization of FWA analytics tools and services across multiple states.

You will be responsible for translating business requirements into product configurations, validating data integration, supporting solution rollout activities, and helping ensure clients realize measurable value from the FWA solution suite.

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:

• Product Implementation & Delivery
  • Lead and support implementation activities for FWA analytics products across multiple Medicaid programs
  • Translate client requirements into product configurations, workflows, and data mapping specifications
  • Conduct data validation, oversee file integration activities, and ensure system outputs align with Medicaid program expectations
  • Partner with engineering and data teams to troubleshoot implementation issues and ensure timely resolution
  • Support user acceptance testing (UAT), including test script creation, execution, and documentation
• Client Engagement & Operational Support
  • Serve as a primary point of contact for client inquiries during onboarding, rollout, and operational cycles
  • Manage incoming tasks, triage operational issues, and provide clear and timely client communication
  • Facilitate product training and adoption activities for client users and internal teams
  • Provide insights and recommendations that help clients improve their program integrity outcomes
• Analytical & Domain Expertise
  • Apply solid analytical skills to interpret Medicaid claims data and support configuration decisions that enhance fraud, waste, and abuse detection
  • Review and analyze production reports to ensure data quality and identify anomalies
  • Use SQL to extract and validate datasets needed for implementation, testing, and troubleshooting
  • Offer creative problem-solving to address non standard implementation challenges
• Cross-Functional Collaboration
  • Work closely with product managers to share client feedback and drive continuous product improvement
  • Collaborate with data engineering, software engineering, and analytics teams to support scalable deployment across states
  • Mentor and support junior analysts and implementation resources as needed
• Work Style
  • Operates effectively in a matrixed environment, supporting multiple leaders and concurrent projects
  • Works independently with minimal direction in a fast-paced, evolving implementation landscape

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 writing advanced SQL queries
• 5+ years of experience in FWA analytics, program integrity, or similar investigative domains
• 4+ years of data analysis experience, including working with relational database structures
• 4+ years of healthcare claims experience (Medicaid solidly preferred)
• Experience with data visualization tools and report interpretation
• Intermediate to advanced proficiency in Microsoft Excel, Word, Teams, PowerPoint, and Outlook
• Willing and able to travel up to 25% (likely will be less)

Preferred Qualifications:

• Industry certifications such as CSPO (Certified Scrum Product Owner) or CFE (Certified Fraud Examiner)
• Experience with statistical data analysis
• Experience with claim adjudication systems
• Experience/knowledge in validating, interpreting, and analyzing AI/ML model outputs to assess accuracy, reliability, and effectiveness in supporting fraud detection and investigations
• Working knowledge of Medicaid policy and common fraud, waste, and abuse schemes
• Familiarity with Agile tools such as Rally

*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 $91,700 to $163,700 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.