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

Senior Product Manager

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
• Lead Product Development and Execution
• Measure and Optimize Product Performance
• Collaborate to Drive Market Growth
• Stay Ahead of Market and Industry Trends

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

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…