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Director of Payment Integrity Capability Strategy

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Optum

Sep 2

Applications are closed

  • Job
    Full-time
    Expert Level
  • Healthcare
  • Dublin

Requirements

  • 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.
  • Proven 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 about 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 viewpoint of Analytics and technology strategy.

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.

FAQs

What is the primary responsibility of the Director of Payment Integrity Capability Strategy?

The primary responsibility is to lead the development and implementation of the global strategy for the Payment Integrity capability, ensuring alignment with business objectives and priorities.

Where is the position based?

The position is based in Dublin or Letterkenny and offers a hybrid work model.

What qualifications are required for this role?

A Bachelor's degree or equivalent in a relevant field, extensive leadership experience in driving capability expertise, strong strategic thinking and planning skills, and excellent communication skills are required.

What experience is preferred for candidates applying to this position?

Preferred qualifications include knowledge of the US healthcare industry, experience with Payment Integrity business or Healthcare Financial Services, and experience in managing large-scale complex programs.

How many years of experience are needed for this role?

While a specific number of years is not mentioned, extensive leadership experience in driving global teams and projects is required.

Will this position involve collaboration with other teams?

Yes, this role will require close collaboration with regional and local capability teams, global functional leaders, and analytics and technology teams.

Are there opportunities for career development in this role?

Yes, careers with Optum offer comprehensive benefits and career development opportunities.

What is the mission of UnitedHealth Group, the parent organization of Optum?

The mission is to help people live healthier lives and make the health system work better for everyone, addressing health disparities and improving health outcomes.

What qualities are emphasized for candidates in this role?

Candidates should be highly adaptable, passionate about global capability structures, and committed to continuous learning and development.

Is there a focus on diversity and inclusion within the organization?

Yes, Optum emphasizes diversity and inclusion, considering it essential for creating a healthier atmosphere.

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Optum

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.

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