Director of Product, Coding and Submissions - Remote

Director Of Coding And Submissions

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 to start Caring. Connecting. Growing Together.

The Coding and Submissions Product team at OptumInsight is responsible for driving innovation and operational excellence in risk adjustment coding, and compliance. The team collaborates across Customers / Market, Technology, Chart Operations, and Decision Intelligence teams to deliver transformative solutions that optimize coding accuracy, efficiency, and financial performance through product strategy, roadmap and delivery.

As the Director of Coding and Submissions, you will lead the modernization and strategic direction of Risk Adjustment Coding and Submissions solutions ensuring compliance, driving automation, and supporting product performance. You will work closely with cross-functional teams to implement AI-driven solutions, standardize processes, and deliver measurable improvements in coding quality and operational outcomes. This role replaces Sharon Yeazle, who previously led the Retrospective Risk Adjustment and Coding Modernization initiatives.

Minneapolis, MN; Washington DC; Raleigh, NC; and Nashville, TN are our preferred locations. If you are located within these areas, you will enjoy a hybrid work week with 4 days a week in office collaborating with peers and partners to the product organization.

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 :

• Lead the Coding and Submissions Solutions, including roadmap development and execution for chart optimization, member validation, and AI / NLP solutions
• Oversee coding and submission operations, ensuring accuracy, compliance, and adherence to regulatory requirements
• Drive automation and process enhancements (e.g., CPH reduction, Ops automation, chart format standardization)
• Collaborate with Market / Customer, Tech, and Decision Intelligence teams to deliver innovative coding tools and solutions
• Manage cross-functional initiatives such as data masking, claims verification, and platform modernization
• Track progress of action items, resolve issues, and escalate decisions as needed
• Provide leadership and mentorship to coding team members, fostering a culture of continuous improvement
• Review team structure, personnel skills
• Represent product in executive readouts, finance discussions, and strategic planning sessions

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 :

Preferred Qualifications :

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 $132,200 to $226,600 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 make the health system work better for everyone. 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.