The Role
Executes technical product work for Behavioral Health Utilization Management initiatives serving payer and government programs. Coordinates engineering, implementation, clinical, and business stakeholders; manages dependencies, restricted data, compliance controls, client implementations, production readiness, and issue triage. Translates regulatory and contractual requirements into product requirements, mitigates delivery risks, and applies AI-assisted tools responsibly in regulated environments.
Summary Generated by Built In
Requisition Number: 2383218
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.
This role will be helping to maintain technical product coverage for Behavioral Health Utilization Management (BH UM) initiatives supporting payer and government channels. The role supports product development and client implementations, data residency requirements, and government program controls. The role enables cost effective execution by preventing downstream delays, compliance exposure, and fragmented ownership that would otherwise require higher cost remediation.
Primary Responsibilities:
Required Qualifications:
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.
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.
This role will be helping to maintain technical product coverage for Behavioral Health Utilization Management (BH UM) initiatives supporting payer and government channels. The role supports product development and client implementations, data residency requirements, and government program controls. The role enables cost effective execution by preventing downstream delays, compliance exposure, and fragmented ownership that would otherwise require higher cost remediation.
Primary Responsibilities:
- Provide day to day technical product execution for payer and government BH UM initiatives
- Ensure compliant delivery by managing work that involves restricted data sets and regulated environments
- Serve as the primary onshore coordination point between engineering, implementation, clinical, and business stakeholders
- Enable timely client implementations and production support by addressing dependencies that offshore teams cannot access or resolve
- Reduce delivery risk, compliance exposure, and execution delays associated with regulated BH programs
- Comply with all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements
Required Qualifications:
- Graduate degree or equivalent experience
- Core Product & Domain Skills:
- 4+ years of Technical product execution experience supporting payer and/or government healthcare programs
- Working knowledge of Behavioral Health UM concepts, workflows, and regulatory considerations
- Ability to translate regulatory, contractual, and operational requirements into clear product requirements
- Experience coordinating delivery across engineering, implementation, clinical, and business teams
- Solid dependency management and execution skills in regulated or restricted data environments
- Compliance & Delivery Skills:
- Understanding of data handling, access controls, and offshore delivery constraints
- Ability to ensure compliant execution in payer, Medicaid, Medicare, or other government regulated contexts
- Proven skills in identifying delivery risks early and driving timely resolution to avoid implementation delays
- Execution & Collaboration Skills:
- Solid written and verbal communication for onshore stakeholder coordination
- Ability to support client implementations, production readiness, and issue triage
- Experience working within scaled delivery models and prioritizing work under delivery pressure
- AI & Tooling Skills:
- Demonstrated use of AI assisted tools (e.g., Copilot, generative AI platforms) to:
- Accelerate requirements analysis and documentation
- Summarize findings, decisions, and risks
- Improve backlog refinement and prioritization efficiency
- Hands on experience with product and delivery tools such as Rally, Aha!, or equivalent, with AI enabled features
- Ability to apply AI responsibly within regulated environments, using AI to enhance productivity while maintaining human oversight and accountability
- Demonstrated use of AI assisted tools (e.g., Copilot, generative AI platforms) to:
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.
Skills Required
- Graduate degree or equivalent experience
- 4+ years of technical product execution experience supporting payer and/or government healthcare programs
- Working knowledge of Behavioral Health Utilization Management concepts, workflows, and regulatory considerations
- Ability to translate regulatory, contractual, and operational requirements into clear product requirements
- Experience coordinating delivery across engineering, implementation, clinical, and business teams
- Dependency management and execution experience in regulated or restricted data environments
- Understanding of data handling, access controls, and offshore delivery constraints
- Ability to ensure compliant execution in payer, Medicaid, Medicare, or other government-regulated contexts
- Experience identifying delivery risks early and driving timely resolution to avoid implementation delays
- Strong written and verbal communication skills for onshore stakeholder coordination
- Experience supporting client implementations, production readiness, and issue triage
- Experience working within scaled delivery models and prioritizing work under delivery pressure
- Demonstrated use of AI-assisted tools for requirements analysis, documentation, summarization, risk identification, backlog refinement, and prioritization
- Hands-on experience with Rally, Aha!, or equivalent product and delivery tools with AI-enabled features
- Ability to apply AI responsibly in regulated environments while maintaining human oversight and accountability
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The Company
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
