Product Manager, IFP - 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.

Individual and Family Plans (IFP) is a rapidly expanding division within UnitedHealthcare. We are currently seeking a highly motivated individual to join our team. This position will report to the Associate Director of Product Operations. The Product Manager within the IFP Product Operations team will be responsible for managing key deliverables, including ensuring benefit configuration requirements are clear, accurate, consistent, and delivered promptly to internal partners. This role will serve as a subject matter expert on IFP benefits for their respective markets, translating IFP plan designs and policies (e.g., Certificates of Coverage) into detailed business requirements. Responsibilities also include ensuring benefits and limits are implemented accurately and timely, investigating and responding to internal benefit inquiries promptly, and supporting claims testing activities. Ideal candidates should be interested in contributing to a developing team, capable of cross-functional collaboration, and adept at deriving structure and clarity from ambiguous and complex inputs.

This position is not focused on managing software products. The term “product” in this context refers to health insurance plans and products, specifically individual and family plan products.

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

Primary Responsibilities

• Translate plan design strategy and policies (i.e., Certificates of Coverage) into detailed business requirements
• Communicate business requirements to configuration and operational partners, ensuring information is organized, clarify complex details and information, and support effective decision-making
• Use structured communication and documentation techniques and follow department standards to organize information, identify and clarify complex details and document key business decisions to support prioritization of work and effective decision-making
• Perform annual filing reviews, including collaborating with key business partners, taking lead on, and responding to regulatory objections, performing quality analysis, etc.
• Collaborate with IFP Product team members to ensure accurate, clear, and consistent benefit interpretation and requirements across regions
• Partner with product, specialty benefits, operational, clinical, claims and configuration teams to achieve benefit design solutions that align with plan design strategy and comply with statutory/regulatory requirements
• Serve as the IFP Product lead on claims testing and quality assurance activities for assigned markets, informing test plans, and assisting in defect resolution
• Provide subject matter expertise to investigate and resolve escalated benefit inquiries and complex benefit-related issues
• Identify and communicate opportunities to improve processes and build best practices for efficient and effective translation of product strategy/plan designs into configuration requirements
• Demonstrate systems thinking to readily identify downstream impacts of decisions
  
  

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

• 3+ years of experience health insurance product implementation, benefit/coverage policy development, benefit configuration, and/or claims operations
• Proficiency in health plan benefit research/coverage concepts
• Working knowledge and experience with medical coding (HCPCS, CPT, ICD-10)
• Advanced proficiency in Microsoft Office applications
• Experience working collaboratively across multiple functional areas (e.g., operations, configuration, clinical, IT, plan design) and fostering teamwork
• Analytical skills and the ability to review data and make fact-based decisions and/or recommendations
  
  

Preferred Qualifications

• Experience performing medical claims analysis
• Experience researching, reading, and interpreting statutory/regulatory requirements or guidance
• Experience in the development or application of benefit interpretation guidelines, coverage policies (certificates of coverage), and/or reimbursement policies
• Working knowledge of ACA (IFP Exchange) market requirements (e.g., essential health benefits)
• Ability to use data and analytical thinking to make fact-based decisions and/or recommendations
• Experience interacting and effectively communicating with senior leadership
• Ability to balance strategic thinking with operational execution
  
  

Soft Skills

• Exceptional time-management skills
• Detail-oriented
• Solid problem-solving skills and the ability to derive structure and clarity from ambiguous or open-ended inputs
• Solid communication skills (written, oral, and presentation)
• A growth mindset, open to taking on new challenges and embracing them
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
  
  

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al 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.

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.