Senior Product Manager

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. UMR, the largest Third-Party Administrator (TPA), a UnitedHealthcare company, is seeking an Senior Product Manager
- AI Transformation to lead business analysis and delivery governance across a portfolio of Agentic AI solutions within UMR Operations. This role will provide strategic leadership for requirements management, solution alignment, and cross-functional execution for multiple AI-enabled products focused on improving claim adjudication efficiency, payment integrity, and operational accuracy. The Senior Product Manager will own the operating model for requirements, AI rule governance, and stakeholder coordination across technology, product, clinical, pricing, network, compliance, and payment integrity teams. This leader will partner with a team of consultants responsible for translating complex healthcare claims logic into AI-driven workflows, decision rules, and operational capabilities. You'll enjoy the flexibility to work remotely
* from anywhere within the U.
C. area, you will be required to work in the office a minimum of four days per week. Lead business analysis strategy and governance across a multi-product Agentic AI portfolio supporting claims operations (First Pass Adjudication, High Dollar Claims, Payment Integrity, Rework Automation, Reverse Quality Engine) Establishand standardize requirements frameworks, documentation standards, traceability models, and acceptance criteria across all AI initiatives Align AI solution design with businessobjectivesby collaborating with Product, IT Architecture, Data Science, Clinical, Pricing, Network, Compliance, and Payment Integrity stakeholders Oversee translation of complex claims processing logic into AI-driven rules, prompts, and decision frameworks ensuring regulatory and contractual compliance Manage cross-workstream dependencies, integration points, anddeliverysequencing across multiple AI initiatives Implement governance for AI rule libraries, prompt frameworks, and reusable decision components to ensure consistency and scalability across products Lead through influence to drive portfolio-level consistency and reuse of operational rules and AI decision patterns to accelerate implementation and reduce redundant build efforts Partner with program leadership to track value realization including improvements in cycle time, auto-adjudication rate, payment accuracy, and rework reduction Support stakeholder governance, executive reporting, and operational alignment across business and technology teams Ensure audit readiness, compliance traceability, and documentation for AI-enabled decision processes in claims operations 8+ years of experience in healthcare payer operations, healthcare consulting, or healthcare technology delivery 5+ years of experience in healthcare claims operations including adjudication, payment integrity, or benefits administration 3+ years of experience leading business analysis teams or complex transformation initiatives Experience leading cross-functional initiatives involving product, IT, operations, and compliance teams Experience in creating structured strategies and solution artifacts (e.g., Experience in PDLC and AIDLC while leveraging modern product management tools
- Aha, Demonstrated experience managing enterprise-level requirements strategy and governance Demonstrated experience defining or contributing to AI use case strategy, including problem framing, value hypotheses, and measurable success metrics Deep understanding of healthcare claims processing including eligibility and benefits, coding edits, modifiers, coordination of benefits (COB), authorization rules, bundling/unbundling, contract pricing, and adjustments Demonstrated solid stakeholder management and executive communication skills Proven ability to design or operate within AI intake and prioritization frameworks, including evaluating initiatives based on business impact, feasibility, and adoption potential Experience implementing AI, automation, or decision intelligence solutions within healthcare payer operations Experience with payment integrity programs, claims editing platforms, or healthcare pricing systems Experience evaluating and supporting legal, compliance, and risk considerations for AI solutions, including areas such as model governance, responsible AI, and regulatory alignment Knowledge of Agentic AI frameworks, prompt design, or rule-based automation in operational workflows Working knowledge of production AI systems, including MLOps or deployment considerations Familiarity with Agile or product-based delivery models in enterprise technology environments All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The salary for thi