Associate Director of Payment Integrity, Business Performance

About Optum

Careers with Optum.
Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high-performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company, and a singular opportunity to do your life's best work.

Position

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.

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
• 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

Your qualification

• 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

Will be a plus

• 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

Additional details

A relocation package is discussed individually.