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

Optum is improving the flow of health data and information to create a more connected system. The Senior Product Manager is responsible for defining and executing the product strategy for Optum Payment Integrity's Intelligent Fraud Detection products, taking an early-stage product from pilot to scale while collaborating with various teams to deliver innovative solutions.

Responsibilities:

• Craft and champion a clear product vision and multi-year product strategy
• Translate market needs, payer feedback, and competitive intelligence into actionable product direction
• Align product investments to deliver customer value, revenue growth, and market differentiation
• Partner with other Product Managers in the portfolio to ensure product decisions support both scalability and client success
• Shape the product strategy for using data science, AI, and network analytics to uncover emerging fraud patterns and drive new fraud detection capabilities & workflows for clients
• Translate strategy into actionable roadmaps, well-defined requirements, and prioritized outcomes
• Collaborate with engineering, AI/ML, analytics, and operations to deliver data-driven solutions that improve accuracy, efficiency, and user experience
• Drive prioritization, balancing innovation, technical debt reduction, and operational scalability
• Ensure product launches are timely, high-quality, and aligned to go-to-market goals
• Define and monitor KPIs tied to adoption, financial performance, and client outcomes
• Partner with analytics and finance teams to evaluate product ROI and inform future investments
• Use data and user feedback to continuously refine strategy, features, and market positioning
• Partner with go-to-market, sales, and marketing teams to drive product adoption and expansion across payer clients
• Support pricing, packaging, and positioning in collaboration with the Director of Product and GTM leadership
• Identify and scale client-proven innovations to the broader market
• Monitor market, regulatory, and competitive shifts to identify emerging opportunities and risks
• Translate evolving market dynamics into forward-looking roadmap updates

Requirements:

• 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
• 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 engineering leaders to deliver outcomes (not just outputs)
• Demonstrated experience leading senior level presentations, workshops, or stakeholder forums
• Working knowledge of Optum and/or UnitedHealth Group
• Demonstrated ability to use customer insights, market intelligence, and data analytics to inform product decisions and prioritization
• Demonstrated ability to communicate product strategy, progress, and impact effectively to executive and technical audiences
• Demonstrated ability to translate ambiguous business challenges into scalable product solutions and actionable roadmaps
• Demonstrated ability to lead cross-functional teams and influence senior stakeholders to align priorities and execute strategic initiatives
• Demonstrated ability to extract actionable insights from large, heterogeneous datasets