Leads behavioral health benefit management for Minnesota Medicaid, ensuring compliance with state and federal requirements, contract changes, audits, reporting, and benefit implementation. Partners with operations, compliance, account management, network management, product, and sales teams. Supports strategic planning, client relationships, renewals, RFPs, and community engagement while applying behavioral health, managed care, and data analysis expertise.
Requisition Number: 2397908
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Position in thsi function manages a specific good or service available externally on the market that can be sold stand-alone, and that directly generates revenue. Responsible for the full product lifecycle management, including: strategy, design, development, management and end of life of new, existing or acquisition products. Leverage market insights to understand market/customer needs to identify new opportunities or make adjustments to current product offerings. Accountable for delivering product performance against expectations and updates changes to a product portfolio to improve competitive position, and optimal product performance to meet customer and market needs. Accountable to and/or own the P&L. Partner with internal or external stakeholders (key customers, product partnerships, etc.) to define and drive future product direction.
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:
*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. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Client/Customer and Community Facing - Representing all MBH and Optum departments with the customer
- Lead behavioral health benefit management for MN Medicaid
- Stay informed of all MN DHS benefit and process changes. Ensure implementation of the changes
- Be involved and stay informed with MN Legislature & Federal changes that impact Medicaid and MN DSNP LOB. Lead efforts to ensure Optum is compliant with state laws
- Lead MN DHS annual contract review and ensure implementation of the changes
- Interface with Payer Performance Channel
- Interface BH Ops and ECS including reporting, work groups, ad hoc requests and presentation expectations
- Participate in strategic initiatives and program planning withing BH Ops as related to MN Medicaid
- Participate in MBH Team leadership group
- Ensure Optum is compliant with Medicaid Contracts and meeting state benefit requirements
- Coordinate and collaborate with Client Management/Account Management, Network Management and Product Sales
- Participate in strategic initiatives and program planning with Product/solutions and with the client especially around contract renewals or RFPs
- Promote Medica and Medica Behavioral health in the community via coordinate marketing efforts and attendance community and state meetings
- Collaborate with Optum and Medica Compliance teams
- Support all things MN Medicaid: Contract review, report requirements, claims inquires, and audits
Position in thsi function manages a specific good or service available externally on the market that can be sold stand-alone, and that directly generates revenue. Responsible for the full product lifecycle management, including: strategy, design, development, management and end of life of new, existing or acquisition products. Leverage market insights to understand market/customer needs to identify new opportunities or make adjustments to current product offerings. Accountable for delivering product performance against expectations and updates changes to a product portfolio to improve competitive position, and optimal product performance to meet customer and market needs. Accountable to and/or own the P&L. Partner with internal or external stakeholders (key customers, product partnerships, etc.) to define and drive future product direction.
- Reviews the work of others
- Develops innovative approaches
- Sought out as expert
- Serves as a leader/ mentor
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:
- Independent, current, and unrestricted Minnesota License in the field of behavioral health with 5+ years of experience
- Be a licensed Clinician
- Experience with and understanding of Minnesota's overall behavioral health system that includes mental health, alcohol and drug addictions, and developmental disabilities services
- Experience with managed care principles, models, and financing
- Experience in public sector mental health or non-profit community mental health, with extensive knowledge of the Medicaid populations
- Experience building solid and effective teams, facilitate staff working together collaboratively, and grow and retain top talent
- Proficient data analytic skills; ability to identify gaps, trends, and mitigation strategies
- Proficiency with computers, including proficiency with Microsoft Word, Excel, PowerPoint, Teams at a minimum along with an understanding of web-based applications
- Reside in Minnesota
- Travel as needed
- Driver's License and access to a reliable transportation
*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. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Similar Jobs at Optum
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Owns data governance, technical documentation, data contracts, API specifications, release communications, partner alignment, and developer-facing publication processes for the ABM platform. The role establishes authoritative sources of truth, maintains documentation standards and traceability, coordinates cross-functional and external reviews, and drives adoption of consistent governance and knowledge-management practices across Product, Engineering, Architecture, Operations, Legal, Compliance, and Marketing.
Top Skills:
AhaAi MarketplaceAPIsAzure DevopsCommon Data ModelsConfluenceFhirHl7JIRAOpenapiPimRallyReadmeSharepointSwagger
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Leads strategy, discovery, delivery, roadmap, and optimization for healthcare medical and dental data products. Owns customer research, prioritization, product outcomes, backlog, adoption, and stakeholder alignment while partnering with engineering, analytics, data science, governance, marketing, and implementation teams. Requires deep healthcare data expertise, experience with cloud data ecosystems and modern architectures, and success managing regulated data products.
Top Skills:
Cloud-Based Data EcosystemsData AnalyticsData GovernanceData PlatformsData ProductsModern Data Architectures
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Lead the strategy, development, consolidation, and rollout of an enterprise provider data management platform. Direct product vision, data modeling, integrations, governance, migration from legacy systems, quality assurance, stakeholder engagement, team mentoring, delivery management, and performance optimization. Partner with architects, engineers, executives, and regional stakeholders to build a scalable platform supporting complex provider relationships and enterprise data requirements.
Top Skills:
Agile ScrumAhaCa Agile RallyKafkaMd StaffExcelMicrosoft OnenoteMicrosoft OutlookMicrosoft PowerpointMicrosoft SharepointMicrosoft VisioMicrosoft WordPower BISalesforceServicenowSix SigmaSnowflake
What you need to know about the Charlotte Tech Scene
Ranked among the hottest tech cities in 2024 by CompTIA, Charlotte is quickly cementing its place as a major U.S. tech hub. Home to more than 90,000 tech workers, the city’s ecosystem is primed for continued growth, fueled by billions in annual funding from heavyweights like Microsoft and RevTech Labs, which has created thousands of fintech jobs and made the city a go-to for tech pros looking for their next big opportunity.
Key Facts About Charlotte Tech
- Number of Tech Workers: 90,859; 6.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Lowe’s, Bank of America, TIAA, Microsoft, Honeywell
- Key Industries: Fintech, artificial intelligence, cybersecurity, cloud computing, e-commerce
- Funding Landscape: $3.1 billion in venture capital funding in 2024 (CED)
- Notable Investors: Microsoft, Google, Falfurrias Management Partners, RevTech Labs Foundation
- Research Centers and Universities: University of North Carolina at Charlotte, Northeastern University, North Carolina Research Campus

