Sr Product Manager

Posted 2 Days Ago
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Minnetonka, MN, USA
In-Office
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Leads behavioral health benefit management for Minnesota Medicaid, ensuring compliance with state contracts, laws, and benefit requirements. Oversees contract reviews, audits, reporting, claims inquiries, strategic planning, client coordination, and regulatory implementation. Partners with operations, compliance, network management, sales, and product teams, while supporting renewals and RFPs. Represents the organization with clients, community stakeholders, and state agencies, and provides leadership and mentorship.
Summary Generated by Built In
Requisition Number: 2387167
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.
Primary Responsibilities:
  • Client/Customer and Community Facing - Representing all MBH and Optum departments with the customer
  • Lead behavioral health benefit management for MN Medicaid
  • Stay informed of all MN DHS benefit and process changes. Ensure implementation of the changes
  • Be involved and stay informed with MN Legislature & Federal changes that impact Medicaid and MN DSNP LOB. Lead efforts to ensure Optum is compliant with state laws
  • Lead MN DHS annual contract review and ensure implementation of the changes
  • Interface with Payer Performance Channel
  • Interface BH Ops and ECS including reporting, work groups, ad hoc requests and presentation expectations
  • Participate in strategic initiatives and program planning withing BH Ops as related to MN Medicaid
  • Participate in MBH Team leadership group
  • Ensure Optum is compliant with Medicaid Contracts and meeting state benefit requirements
  • Coordinate and collaborate with Client Management/Account Management, Network Management and Product Sales
  • Participate in strategic initiatives and program planning with Product/solutions and with the client especially around contract renewals or RFPs.
  • Promote Medica and Medica Behavioral health in the community via coordinate marketing efforts and attendance community and state meetings
  • Collaborate with Optum and Medica Compliance teams
  • Support all things MN Medicaid: Contract review, report requirements, claims inquires, and audits

Manages a specific good or service available externally on the market that can be sold stand-alone, and that directly generates revenue. Responsible for the full product lifecycle management, including: strategy, design, development, management and end of life of new, existing or acquisition products. Leverage market insights to understand market/customer needs to identify new opportunities or make adjustments to current product offerings. Accountable for delivering product performance against expectations and updates changes to a product portfolio to improve competitive position, and optimal product performance to meet customer and market needs. Accountable to and/or own the P&L. Partner with internal or external stakeholders (key customers, product partnerships, etc.) to define and drive future product direction.
  • Reviews the work of others
  • Develops innovative approaches
  • Sought out as expert
  • Serves as a leader/ mentor

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:
  • Possess an independent, current, and unrestricted Minnesota License in the field of behavioral health with a minimum of five years' experience
  • Experience with and understanding of Minnesota's overall behavioral health system that includes mental health, alcohol and drug addictions, and developmental disabilities services
  • Experience with managed care principles, models, and financing
  • Experience in public sector mental health or non-profit community mental health, with extensive knowledge of the Medicaid populations
  • Proficient data analytic skills; ability to identify gaps, trends, and mitigation strategies
  • Proficiency with computers, including proficiency with Microsoft Word, Excel, PowerPoint, Teams at a minimum along with an understanding of web-based applications
  • Experience building solid and effective teams, facilitate staff working together collaboratively, and grow and retain top talent
  • Driver's License and access to a reliable transportation
  • Reside in Minnesota
  • Travel as needed

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 $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.

Skills Required

  • Independent, current, and unrestricted Minnesota behavioral health license
  • At least five years of experience
  • Understanding of Minnesota’s behavioral health system, including mental health, alcohol and drug addictions, and developmental disabilities services
  • Experience with managed care principles, models, and financing
  • Experience in public sector mental health or nonprofit community mental health, with extensive Medicaid population knowledge
  • Proficient data analytics skills, including identifying gaps, trends, and mitigation strategies
  • Proficiency with Microsoft Word, Excel, PowerPoint, Teams, and web-based applications
  • Experience building effective teams, facilitating collaboration, and retaining talent
  • Valid driver’s license and access to reliable transportation
  • Reside in Minnesota
  • Ability to travel as needed

What the Team is Saying

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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