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Director, Business Process and Analysis
2 months ago
Director, Business Process and Analysis (Quality & Risk) – Clinical Solutions - Dublin or Letterkenny, Hybrid
Optum is a global organisation 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, talented individuals. With a continued record of growth and stability, we’re on the constant lookout for fresh talent to join our expanding teams.
We’re seeking a visionary and strategic leader to join our team as the Director, Business Process and Analysis (Quality & Risk) – Clinical Solutions. You’ll play a pivotal role in shaping the future of our Risk Adjustment HCC coding programme across all regions. This is a unique opportunity for a highly motivated individual to leverage data insights, drive continuous improvement, and ensure the successful execution of quality initiatives on a global scale.
We’re looking for someone who has a strong business process improvement mindset, the ability to leverage data to improve processes, and some experience in environments focusing on elements of quality or risk management. The successful individual will receive extensive training on specific healthcare coding and risk adjustment processes.
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 or Letterkenny office and telecommuting from a home-based office in a hybrid work model.
Primary Responsibilities:
• Analyse business processes, identify key issues and trends, and develop actionable solutions to improve efficiency and effectiveness across multiple functions.
• Enhance the end-to-end quality audit and control framework, connecting feedback and actions across functions while driving continuous improvement and remediation.
• Develop and execute strategies for the quality audit function, ensuring alignment with business priorities and global standards.
• Partner with global quality audit leaders, process SMEs, and analytics partners to ensure effective monitoring, process control, and consistent application of solutions.
• Monitor and adapt implemented solutions, maintaining progress and effectiveness through stakeholder feedback and performance metrics.
• Identify risks and opportunities associated with current processes and proposed solutions, ensuring compliance with relevant regulations and mitigating potential impacts.
• Communicate with and engage stakeholders, including senior leadership and end users, to gain support for proposed solutions and keep them informed of key performance indicators.
• Direct and collaborate with others to resolve complex business problems that impact multiple functions or disciplines, ensuring solutions align with business goals.
You will be rewarded and recognised 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 providing development for other roles you may be interested in.
Required qualifications:
• Extensive experience in operations management, analytics, or quality management, with a focus on business process improvement and operational excellence.
• Demonstrated expertise in analysing business processes, identifying key issues, and implementing actionable solutions to drive efficiency and effectiveness.
• Proficiency in using data and analytics to inform decision-making and drive continuous improvement.
• Experience in an operations environment that includes elements of risk management, quality auditing, or control frameworks.
• Proven track record of successfully managing and executing complex projects on time and within budget.
• Bachelor’s degree in Business, Operations Management, Analytics, or a related field, or equivalent professional experience.
• Ability to travel up to 10% domestically and internationally.
Preferred qualifications:
• Master's degree in Business Administration, Operations Management, or a related field.
• Professional certifications such as Six Sigma, Lean, PMP or PRINCE2.
• Healthcare quality coding or healthcare risk adjustment experience.
All telecommuters will be required to adhere to the UnitedHealth Group’s 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 marginalised 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: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © Optum Services (Ireland) Limited. All rights reserved.
