Experience Inc. Jobs

Director of Payment Integrity Capability Strategy – 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 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding teams.

The Global Capability Strategy Leader for Payment Integrity is responsible for developing and implementing the global strategy for the Payment Integrity capability, ensuring alignment with the business objectives and priorities. The Global Capability Strategy Leader works closely with the regional and local capability teams, as well as the global functional leaders, to drive excellence and innovation in the capability delivery and performance.

The Director of Payment Integrity Capability Strategy will closely work with Global Capability Strategy Leader to lead and drive efforts within the Global Capability Office and be single point of contact for Global Capability Strategy Leader and Functional teams.

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

Primary Responsibilities:

• Lead the definition and further communicate agreed global vision, mission, and goals for PI (Payment Integrity) capability, ensuring alignment with the business/transformation strategy and stakeholder expectations.

• Lead the development and execute the global capability roadmap, identifying and prioritizing the key initiatives, projects, and activities to deliver the desired outcomes and impact.

• Lead and collaborate closely with global capability works stream leaders/team and Analytics, Automation, Data, Technology teams, providing direction, guidance, coaching, and feedback to ensure high performance and engagement.

• Establish and maintain effective relationships with the PI Capability work stream and Cross Capability teams within enterprise, as well as the global functional leaders, to ensure alignment, collaboration, and coordination across the capability network.

• Own and evaluate the capability delivery and performance, using relevant metrics and indicators, and implement continuous improvement actions to ensure quality, efficiency, effectiveness and incremental benefits.

• Identify and leverage best practices, innovations, and learnings from the capability network and the external market/working with Product, and share and disseminate them across PI Capability.

• Represent the capability area of expertise in relevant internal and external forums, events, and networks, and act as a subject matter expert and thought leader.

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 equivalent in a relevant field, such as business, management, or human resources.

• Extensive Leadership experience in driving capability expertise, with proven track record of leading and managing global teams and projects.

• Strong strategic thinking and planning skills, with the ability to translate the vision into actionable plans and deliverables.

• 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

• Excellent communication and interpersonal skills, with the ability to influence and collaborate with diverse stakeholders at all levels.

• Highly adaptable and flexible, with the ability to work in a fast-paced and dynamic environment, and manage multiple priorities and deadlines.

• Passionate and enthusiastic Global capability structures, and committed to continuous learning and development.

Preferred Qualifications:

• 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

• Knowledge and experience of Operational Metrics, Workforce Management, People Metrics, Process Improvement, change management

• Experience and or view point of Analytics and technology strategy

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. © 2024 Optum Services (Ireland) Limited. All rights reserved.