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Position Summary
This role is seeking a strategic, AI-savvy technology leader to advance practical artificial intelligence, automation, and enterprise technology capabilities across the Kansas Health Plan. As an individual contributor and member of the local leadership team, this person will partner across health plan, state, regulatory, business, shared services, and IT teams to identify high-value opportunities and deliver solutions that improve operational performance, compliance readiness, member and provider experience, and workforce productivity.
The solidest candidate will bring AI and digital transformation capability, a solid strategic mindset, and meaningful Medicaid and Medicare knowledge. This role requires curiosity, executive communication, relationship-building, and the ability to move from idea to execution in a complex matrixed environment while responsibly championing innovation that creates measurable business value for Community & State and the Kansas health plan market.
Ideal Candidate Profile
- AI and digital transformation capability: Ability to identify and advance practical AI-enabled solutions that solve business problems and create measurable value
- Strategic technology leadership: Ability to shape roadmaps, influence senior stakeholders, and connect market needs to enterprise capabilities
- Medicaid and Medicare knowledge: Understanding of managed care operations, regulatory expectations, and health plan performance drivers
If you are located in Kansas, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- AI, Innovation, and Digital Transformation
- Identify and advance practical AI, automation, analytics, and digital enablement opportunities that improve efficiency, compliance readiness, member and provider experience, and workforce productivity
- Partner with health plan and business leaders to prioritize high-value use cases and translate them into actionable roadmaps, solution concepts, or delivery plans
- Champion responsible AI adoption through appropriate use cases, stakeholder alignment, training and enablement support, data protection, compliance awareness, change readiness, and measurable outcomes
- Connect enterprise technology capabilities and innovation efforts to local Medicaid and Medicare market needs, ensuring solutions are practical, scalable, and aligned to strategic priorities
- Strategic Technology Leadership
- Serve as a strategic technology partner to Kansas Health Plan leadership, Community & State leaders, shared services, and IT delivery partners
- Translate business, regulatory, operational, and state partner needs into clear technology direction, priorities, and recommended courses of action
- Influence technology decisions with enterprise partners, health plan leaders, and state and federal regulators to advance scalable solutions, remove barriers, and deliver measurable value for stakeholders
- Provide thought leadership on emerging technology trends and their applicability to Medicaid and Medicare operations, regulatory execution, growth, and health plan performance
- Market CIO Leadership and Accountability
- Serve as the primary technology voice for the Kansas Health Plan, coordinating priorities, risks, dependencies, decisions, and escalations across local leadership and enterprise technology partners
- Provide concise, executive-ready updates on technology priorities, risks, decisions, and progress to ensure leadership visibility and alignment
- Help shape and prioritize health plan technology demand, ensuring requests are clearly defined, routed through appropriate intake channels, and aligned to enterprise priorities and market objectives
- Maintain an ownership mindset for follow-through by tracking commitments, clarifying owners, and ensuring open items move toward resolution
- Relationship Building and Stakeholder Partnership
- Build trusted relationships with state and federal partners, health plan leaders, IT teams, shared services, vendors, and business stakeholders
- Represent UnitedHealthcare in state and federal regulatory meetings with a balanced understanding of business priorities, technology capabilities, and compliance obligations
- Communicate complex technology topics in clear, practical, executive-ready language for technical and non-technical audiences
- Foster collaboration so technology solutions are understood, supported, and effectively adopted
- Regulatory, Growth, and Health Plan Effectiveness
- Provide subject matter expertise on health plan capabilities such as claims, member, clinical, provider, X12 transactions, eligibility, reporting, quality, and compliance processes
- Support regulatory and growth initiatives by translating requirements into technology needs and practical implementation approaches
- Influence state requirements, timelines, and solution design through recommendations, clarifying questions, and constructive feedback
- Collaborate with other managed care organizations, where appropriate, to support common processes, realistic timelines, and effective state deliverables
- Performance, Compliance, and Operational Excellence
- Ensure IT applications, operations, data exchanges, and technology platforms support health plan needs and state contractual requirements
- Support compliance with required data exchanges, including 834, 837, 820, provider files, and other state-required transactions
- Partner with leaders to assess funding, timing, resources, risks, dependencies, and operational impacts, while advocating for technology investments and enablements that align with enterprise priorities, responsible use of capital improvement funding, and measurable stakeholder value
- Review and challenge estimates, plans, and delivery approaches to help drive efficient, scalable, and sustainable solutions
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:
- Undergraduate degree or 5+ years of professional IT experience
- 7+ years of experience delivering technology-enabled business improvements that enhance operational performance, efficiency, compliance readiness, or stakeholder experience
- 5+ years of experience influencing senior stakeholders and leading through a large, matrixed enterprise environment
- 5+ years of professional IT, technology leadership, digital transformation, product, or equivalent related experience
- 3+ years of experience developing technology strategies, roadmaps, business cases, solution recommendations, or implementation plans
- 3+ years of Medicaid, Medicare, managed care, health plan, or healthcare operations experience
- 2+ years of experience designing, deploying, or scaling AI-powered solutions, intelligent workflows, analytics products, or productivity tools
- 2+ years of experience with responsible AI considerations, including privacy, security, compliance, governance, change management, and adoption readiness
- Driver's License and access to a reliable transportation
Preferred Qualifications:
- Advanced degree in computer science, data science, engineering, healthcare administration, business administration, or a related field
- 3+ years of experience applying AI or automation to Medicaid, Medicare, managed care, regulatory, clinical, claims, provider, member, or quality processes
- Demonstrated experience turning ambiguous business problems into clear use cases, roadmaps, or product strategies
- Experience supporting RFPs, growth initiatives, regulatory implementations, audit readiness, state deliverables, or state partner technology commitments
- Solid understanding of Medicaid and/or Medicare operations, state and federal regulatory requirements, managed care models, and health plan performance drivers
- Proven solid communication, problem-solving, relationship-building, and executive presence skills
*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.
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.