Principal AI Program Manager, Appeals Innovation and Automation - Remote 2383000 | Cypress, California | Remote

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Connecting. Growing together. With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve. Integrity Compassion Inclusion Relationships Innovation Performance Back to nav Principal AI Program Manager, Appeals Innovation and Automation - Remote Requisition number: 2383000 Job category: Medical & Clinical Operations Primary location: Cypress, California Additional locations: Phoenix, Arizona | Chicago, Illinois | Tampa, Florida | Houston, Texas | Boston, Massachusetts Date posted: 08/12/2026 Overtime status: Exempt Travel: No Share this job Facebook X LinkedIn Email 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Principal AI Program Manager will lead the identification, governance, development, implementation, and scaling of Artificial Intelligence solutions across the Appeals organization. This role serves as the bridge between business operations, clinical leadership, technology teams, legal, compliance, privacy, security, and enterprise governance to ensure the responsible deployment of AI capabilities that improve quality, efficiency, consistency, and user experience. The ideal candidate will possess deep expertise in AI agents, workflow automation, generative AI, and healthcare operations, with a proven ability to translate business challenges into AI-enabled solutions. This individual will drive the full lifecycle of AI initiatives, from opportunity assessment and business case development through governance approval, implementation, adoption, and ongoing optimization. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: AI Strategy and Innovation Establish and maintain the Appeals AI roadmap and portfolio of initiatives Identify opportunities to improve quality, efficiency, consistency, turnaround times, and user experience through AI and automation Evaluate emerging AI technologies, agent frameworks, and automation platforms for applicability within Appeals operations Lead pilot programs, proofs of concept, and innovation initiatives Develop business cases, return-on-investment analyses, and implementation strategies for AI projects AI Agent Development and Optimization Design, build, test, and deploy AI agents supporting Appeals and Grievance workflows Collaborate with technology teams to develop custom AI agents, connectors, retrieval solutions, and workflow automations Establish evaluation methodologies and accuracy testing frameworks Continuously refine prompts, workflows, training data, retrieval strategies, and agent configurations to improve performance Develop monitoring and feedback loops to ensure sustained accuracy and reliability Governance, Risk, and Regulatory Oversight Serve as the primary owner of AI governance activities within Appeals Develop documentation and presentations required for Artificial Intelligence Review Board (AIRB) and governance committee approvals Partner with Legal, Compliance, Privacy, Information Security, and Risk Management teams to ensure responsible implementation Ensure AI solutions adhere to corporate policies, healthcare regulations, and responsible AI standards Maintain audit-ready documentation supporting validation, transparency, monitoring, and risk mitigation activities Cross-Functional Leadership Act as the primary AI subject matter expert for Appeals Operations Partner with operational leaders, medical directors, nurses, analysts, product teams, architects, engineers, and vendors Translate business requirements into technical specifications and implementation plans Coordinate efforts across multiple business units and enterprise technology organizations Facilitate stakeholder alignment and executive communication Change Management and Adoption Develop AI adoption strategies and organizational change management plans Create training materials, educational resources, and best practices for users Promote responsible and effective use of AI-enabled solutions Build organizational trust through transparent evaluation and measurable outcomes Support production deployments and enterprise scaling efforts Measurement and Continuous Improvement Define key performance indicators and success metrics for AI initiatives Measure impacts on quality, accuracy, productivity, consistency, cost, and user satisfaction Deliver executive reporting and outcome analyses Identify opportunities for continuous improvement and expansion of AI capabilities 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: Bachelor's degree in Healthcare Administration, Nursing, Computer Science, Engineering, Information Systems, Data Science, or related field Experience leading complex cross-functional programs involving technology and operational transformation Experience with generative AI, AI agents, automation platforms, workflow orchestration, or intelligent document processing Solid understanding of responsible AI principles, governance frameworks, and risk management Demonstrated excellent communication, stakeholder management, and executive presentation skills Demonstrated ability to lead initiatives from strategy through implementation and adoption Preferred Qualifications: Project or product management certification Healthcare experience, particularly within Appeals, Utilization Management, Clinical Operations, Claims, Revenue Cycle, or Regulatory Operations Experience with Microsoft Copilot Studio, Azure AI, Power Automate, Microsoft Graph, custom connectors, retrieval-augmented generation, and agentic AI frameworks Experience presenting initiatives to governance boards and obtaining regulatory, compliance, or risk approvals Experience with document processing, OCR, knowledge management, search technologies, and workflow automation Familiarity with healthcare data privacy, security, and regulatory requirements *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 $91,700 - $163,700 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 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. Apply Internal apply Bookmark job Back to nav Benefits Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well. Life Resources and support to focus on what matters most to you, in every facet of your life. Emotional Education, tools and resources to help you reduce and manage stress, build resilience and more. Physical Health plans and other coverage to support wellness for you and your loved ones. Financial Benefits for today and to help you plan for the future, including your retirement. Learn more Back to nav Previous slide The most motivating aspect of my role is to help people live healthier lives. If roles were reversed, I'd want someone I could trust to be there in the moments that matter. Orrin K. Director of Health Plan Operations – Hawaii Making a difference is not about the big things or grand gestures; it's about impacting one person at a time even the smallest way. If I know I've impacted just one person, with a smile, or a kind word, or even a helping hand, then I know I've made a difference. Amaris A. Program Integrity Manager Knowing the company supports both professional and personal growth — like furthering our education — makes me incredibly proud. Jessyca G. Senior Health Advocate The most motivating aspect of my role is to help people live healthier lives. If roles were reversed, I'd want someone I could trust to be there in the moments that matter. Orrin K. Director of Health Plan Operations – Hawaii Making a difference is not about the big things or grand gestures; it's about impacting one person at a time even the smallest way. If I know I've impacted just one person, with a smile, or a kind word, or even a helping hand, then I know I've made a difference. Amaris A. Program Integrity Manager Knowing the company supports both professional and personal growth — like furthering our education — makes me incredibly proud. Jessyca G. Senior Health Advocate The most motivating aspect of my role is to help people live healthier lives. If roles were reversed, I'd want someone I could trust to be there in the moments that matter. Orrin K. Director of Health Plan Operations – Hawaii Next slide Go to slide 1 Go to slide 2 Go to slide 3 Back to nav We’re honored to be recognized for our exceptional work culture Back to nav Discover our family of businesses See how we’re structured to help build a modern, high-performing health system. Learn more Explore our hiring process Learn what to expect when you pursue an opportunity with us. Learn more Committed to sustainability Take a look at all the ways we’re working for a healthier, more sustainable future. 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