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 growing business within UnitedHealthcare. The Product Manager within the IFP Product Operations team is responsible for managing key IFP Product deliverables, including ensuring benefit configuration requirements are clear, accurate, consistent, and delivered timely to internal partners. This individual will serve as a subject matter expert on IFP benefits for their respective markets, with responsibility for translating IFP plan designs and policies (i.e., Certificates of Coverage) into detailed business requirements, ensuring benefits are implemented accurately and timely, investigating and responding to internal benefit inquiries, and supporting claims testing activities. Applicants should be interested in being part of a developing team within a start-up environment, be able to collaborate cross-functionally, and enjoy deriving structure and clarity from ambiguous and complex inputs.

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 requirements
• Communicate requirements to configuration and operational partners, ensuring information is organized, clarify complex details and information, and support effective decision-making
• Use structured communication techniques and follow department standards to organize information on issues, clarify complex details and information, and support effective decision-making
• Perform annual filing reviews, including coordinating with key business partners, responding to objections, performing quality analysis, etc.
• Collaborate with IFP Product team members to ensure accurate, clear, and consistent benefit 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 managed care experience, with an emphasis on health insurance product implementation, benefit/coverage policy development, benefit configuration, and/or claims operations
• Proficient in health plan benefit/coverage concepts
• Working knowledge and experience with medical coding (HCPCS, CPT, ICD-10)
• Solid problem-solving skills and ability to derive structure and clarity from ambiguous or open-ended inputs
• Advanced Proficiency in Microsoft Office applications
• Experience working collaboratively across multiple functional areas (e.g., operations, configuration, clinical, IT, plan design) and fostering teamwork
• Solid communication skills (written, oral and presentation skills)
• A growth mindset is required for this new growing business and requires a person who is open to taking on new challenges and embracing them
• Analytical skills and 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, and/or reimbursement policies
• Working knowledge of ACA 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
• Able to balance strategic thinking with the urgency to drive work forward

• 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, or Washington Residents Only: The salary range for California/Colorado/Connecticut/Hawaii/Nevada/New Jersey/New York/Rhode Island/Washington residents is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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.