Associate Director of Payment Integrity, Business Performance

3 weeks ago

Dublin, Dublin City, Ireland UnitedHealth Group Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

About The Role:

As a Fortune 5 business, we're one of the world's leading healthcare companies. There are no limits here on the resources you'll have or the challenges you'll encounter.
We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding teams.

This is a key management position, based in Ireland, within a high value, fast paced and growing function and will lead significant change and transformation within the operations reporting to Senior Director / VP. The successful candidate is accountable directly and indirectly through a matrix team. You will be partnering with key value streams and business units within Optum Payment Integrity Organization. This role is essential for supporting the mission of affordable health system for all and drive financial savings. Working within the Business Performance Unit, you'll have the opportunity to work collaboratively within a high-performance team, responsible for driving successful Transformation Program.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities:


• Develop Non-Clinical Business Process Improvement & Transformation Strategy to support an ambitious growth target across cost efficiency and medical cost savings.

• Partner with Operations leaders/teams, Analytics, R&D(Research & Development), Technology to develop Business Process Improvement & Transformation Strategy and to create CBA, execution roadmap/resource needs, assess capital needs.

• Identify, lead specific strategic projects/initiatives while also keeping track of all initiatives within the overall strategy.

• Ability to articulate data needs, analyze data and summarize data basis business problems and solutions needs.

• Ensure operational performance improvements are tracked accurately, by establishing and automating statistical control models for value streams, utilizing internal tools and processes (e.g., dashboards; scorecards; reports) to update relevant stakeholders on the status of work projects, with operational improvements and root cause actions taken quickly to remedy under performance, develop corrective action plans to address and resolve relevant stakeholders' concerns or issues regarding program performance as required.

• Monitor and propose changes to performance metrics in partnership with finance, Analytics, workforce management / industrial engineering and ensuring benefits are accounted in P&L and productivity reports.

• Provide guidance and assistance to internal and external (client) partners to ensure programs and strategies are implemented effectively and value realized.

• Collaborate with stakeholders, ability to influence without authority to gain support and buy-in for proposed business process solutions and adherence to team requirements

• Communicate with Leadership/Senior Leadership about progress, challenges and actions required to remove hurdles.

Required Qualifications:


• Bachelor's Degree or Undergraduate degree with equivalent experience in Transformation, Change Management, Strategy

• Strong communication skills and experience communicating at Leadership levels

• Proven track record in developing Transformation Strategy, driving Change Management, identifying and driving Innovation, or related functions

• Prove track record in managing large scale complex programs within a matrix environment

• Trained and experienced in process improvement and change management methodologies like Six Sigma, Lean or equivalent degree from reputed university

• Ability to identify relevant data, pull the data and turn data into insights

Preferred Qualifications:


• Data analysis and data summarization skill set via use of data query and analysis tools

• Six Sigma certified with understanding of LEAN process

• Knowledge of US Healthcare industry, major healthcare entities, Member/Eligibility and claims lifecycle

• Experience with Payment Integrity business, Health Technology or Healthcare Financial Services

• Identifying and leading growth activities through optimization/improvement/transformation

• Experience driving affordability, medical spend avoidance programs

All telecommuters will be required to adhere to the Optum Ireland Telecommuter Policy.

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


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