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Director of Product, Facilities Claims Review - Remote

Remote / Online - Candidates ideally in
Eden Prairie, Hennepin County, Minnesota, 55344, USA
Listing for: Optum
Remote/Work from Home position
Listed on 2026-10-12
Job specializations:
  • Business
    Product Manager, AI Business & Operations
Salary/Wage Range or Industry Benchmark: 135000 - 231000 USD Yearly USD 135000.00 231000.00 YEAR
Job Description & How to Apply Below

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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

Shape the future of facility claim review by leading a scaled portfolio of established products and building the next generation of AI-enabled reimbursement accuracy solutions.

The Director of Product is a strategic product leader and innovator with responsibility for Optum's Facility Claim Review products. These are proven, in-market products operating at significant scale across the country - which means the work you drive reaches payers and providers fast and shows up in real accuracy, affordability, and financial outcomes.

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 products deliver measurable client value, scales effectively, and remains differentiated in the market.

Success in this role requires someone who can understand how legacy technology interacts with modernization efforts and and new product capabilities.

Why this role
  • Own a product area that’s already winning - and take it further. You’re not starting from zero. You’ll inherit a proven, in‑market product with a strong client base and clear runway to scale new value quickly
  • Build at the intersection of healthcare reimbursement and applied AI. You’ll partner daily with AI/ML, analytics, and data science teams to turn some of healthcare’s most complex reimbursement problems into intelligent, data‑driven solutions
  • Real influence, real visibility. You’ll set strategy, drive execution, and shape decisions alongside senior leaders across product, engineering, and go‑to‑market - with your impact measured in client outcomes and business growth

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
  • Set Product Strategy and Investment Priorities
    • Define and champion the Facility Claim Review vision, product strategy, and multi‑year roadmap
    • Turn payer needs, reimbursement changes, client feedback, and competitive intelligence into clear product choices and investment priorities
    • Balance product performance, platform health, AI‑enabled innovation, and new product development within the broader Payment Integrity strategy
  • Lead Market and Client Engagement
    • Serve as the external product leader with payer clients, industry stakeholders, and executive audiences
    • Lead discovery, roadmap validation, and advisory discussions to identify unmet needs and validate scalable opportunities
    • Use market insight to inform positioning and keep innovation grounded in real reimbursement and workflow challenges
  • Deliver and Scale Products
    • Own the lifecycle from opportunity definition and business case through development, launch, adoption, and improvement
    • Align engineering, AI/ML, analytics, content, clinical, coding, and operations teams around prioritized outcomes
    • Advance analytics, decision support, and…
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