AMVETS Jobs

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.

As an Associate Director of Payment Integrity- Business Performance and Process Improvement you will be partnering with key value streams and business units within Optum Payment Integrity Organization. The Associate Director, Business Performance Transformation is essential for supporting the mission 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 pipeline experience across our value streams and supporting all new projects through the pipeline phases. In addition to having impact on a great team, you'll also discover the career opportunities you'd expect from an Industry Leader.

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 and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities:

Responsible for the identification of process improvements to support affordability savings through:

• Develop Clinical Business Performance Improvement Strategy across clinical value streams to support an ambitious growth target of medical cost savings.

• Lead on implementing continuous improvements or strategic improvements.

• Strong leadership and strategic planning skills within a matrix environment

• Strong interpersonal skills, ability to work with all levels of management across all functional areas, including business partners in other UHG/Commercial entities.

• Experience working with large data sets/systems/warehouses to translate data into information for decision making.

• Developing insights and proposals for improved business processes to enable speedy deployment of future projects.

• Demonstrates technical understanding of provider claim submission, payment integrity and appeals. Claims Life Cycle knowledge is a plus.

• Leading and overseeing project charters on agreed initiatives and supporting projects approved

• Conduct reviews and joint goal planning sessions with value stream partners on initiatives

• Previous large scale data analysis and end to end mapping experience.

• Building, and promoting relationships with business operations leaders to enable growth opportunities.

• Collaborating with peer teams (data analysts, project management, feasibility & sizing team, operations leaders)

• Participating in operational business initiatives/meetings involving innovations

• Provide project direction and performance feedback to leadership throughout the project, as appropriate.

• Positions in this function are responsible for end-to-end business process activities - creating, controlling and improving business processes.

• Demonstrate understanding of relevant organizations' operations, products and applications, strategies, processes, and/or business priorities to build effective solutions.

• Demonstrate and remain current in understanding of relevant regulations (e.g., CMS guidelines; NDC etc.)

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:

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

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

• Strong communication skills and experience communicating at Senior Leadership levels.

Preferred Qualifications:

• Six Sigma Black Belt certified with in-depth understanding of LEAN process

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

• Experience with Payment Integrity business or Healthcare Financial Services

• Knowledge / understanding of CPC coding.

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. © 2023 Optum Services (Ireland) Limited. All rights reserved.