Sr. Director Claim Payment & Presentment Product Lead - Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

Be part of this enterprise-wide claims transformation journey! The Claim Product vision is to reimagine and simplify the end-to-end claim experience by providing a nimble, frictionless and retail-like claim capability for all constituents, driving maximum affordability. The work will be challenging and rewarding!

This Sr. Director role is responsible for providing strategic leadership and oversight for the Claim Payment and Presentment Strategy and Delivery teams. This is a transformational role and will require skills with positioning and managing change in a dynamic claim payment landscape across the enterprise. This highly visible role will own key elements of key strategic initiatives, which is a critical priority for Core Operations and UHC Operations & Experience for 2025 and beyond. This role will be accountable for leading, in partnership with business leaders and Optum Financial Services, the strategy and roadmap for end-to-end provider and member payment experiences in support of enterprise objectives. In addition, the position will lead the payment delivery teams and operation, which is responsible for facilitating payments to providers in members, issuing EOBs/Health Statements/PRAs, and enterprise capitation payments annually, in addition to delivering critical regulatory and business-driven enhancements.

Through thought leadership, matrix collaboration and execution, this role will lead the formulation of an innovative, market-differentiating payment and presentment capability, modernize the critical payment hub enterprise asset, and empower the teams to deliver value for our provider and consumer levels. This critical leadership position will play a key role in our multi-year strategy to deliver an enhanced experience to providers and consumers, in partnership across the enterprise. This position requires both strategic thinking and hands-on execution as the leader develops the strategy and vision for the future, and then works to execute and make that vision a reality, while managing delivery teams and their priorities.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Develops strategy and maintains UHC roadmap for the claim payment capability, including:

• Demonstrate thought leadership, systems thinking and a consultative mindset to establish a strategic vision for Claim Payment and Presentment that aligns to the objectives of UnitedHealthcare in partnership key stakeholders. Further aligning roadmaps with a unified business strategy across business partners to drive innovation collectively
• Participate in and contribute to thought leadership including, but not limited to major strategic initiatives
• Build and execute the strategy for the end-to-end, cross-line-of-business claim post-processing capabilities
• Lead innovation and next-generation capabilities, enabling a future vision for payment flexibility and consumer- and provider-friendly communications
• Lead and support delivery teams, helping them to prioritize business needs and understand strategy, and developing a talent and team management strategy. Lead and drive culture and inclusion across high-performing and matrix teams; establish a culture recognized as a talent destination
• Partner with senior business stakeholders to understand business goals, their solution options, and the value of change in a dynamic payment landscape in a way that is highly collaborative and drives consensus towards change adoption
• Foster collaboration and drive execution across matrix teams internally; align external partners where needed to realize our value story in the market in pursuit of influencing behavior, lowering costs and improving consumer experience
• Partner with experience teams to thoroughly understand provider and member payment-related pain points and desires
• Understand the provider and member payment market landscapes, including vendor capabilities and competitive analyses
• Use data insights to tell a compelling story to support initiatives, gain buy-in and report out on success
• Anticipate and respond to the evolving marketplace adapting to changing regulation and refreshing our policies to ensure compliance and minimize business disruption

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:

• 10+ years of experience in payment business strategy and / or operations
• 5+ years in strategy development and planning, project management and transformational and change management practices
• 5+ years of program management experience or managing through significant change initiatives with vision, roadmap, plan
• 5+ years of experience in Financial Technology (FinTech) or healthcare, developing understanding of pain points and available market solutions
• Experience building effective relationships with leadership and ability to influence strategy with areas outside of direct responsibility

Preferred Qualifications:

• Intermediate or above proficiency with PowerPoint and Excel
• Demonstrated vision and strategy formulation and critical thinking skills, including experience developing and executing a staged roadmap plan
• Proven strength/ability to influence - "selling" operational partners and stakeholders across the organization on your strategic vision
• Proven excellent interpersonal and communication skills with experience working with all levels of an organization
• Proven to be self-directed and highly accountable professional
• Proven solid leader and motivator with the ability to coach and mentor talent within the organization; able to provide work direction; able to attract and retain top talent
• Proven strategic leadership skills with track record of leading and scaling multi-faceted teams supporting key business functions
• Proven restless student of business, including demonstrated financial acumen and experience building business plans, conducting CBAs, and managing budgets
• Proven systems thinking, with ability to manage a high degree of complexity and facilitate cross-organization partner
• Proven ability to articulate complex strategy into meaningful motivating content for staff at all levels
• Proven ability to see the big picture and to align/integrate plans to achieve goals

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $147,300 to $282,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.