Associate Director of Payment Integrity Transformation,, Dublin Pike

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. This is an opportunity to join 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.

We have a key role open for the Associate Director Business Performance&Transformation; Payment Integrity based in Ireland.

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 partner with key value streams and business units within Optum Payment Integrity Organization. This role supports the mission of an affordable health system for all and drives financial savings. Working within the Business Performance Unit, you’ll have the opportunity to work collaboratively within a high-performance team, responsible for driving a successful Transformation Program.

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

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, 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 underperformance, develop corrective action plans to address and resolve relevant stakeholders' concerns or issues regarding program performance.

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.

Required Qualifications

Bachelor's Degree or Undergraduate degree with equivalent experience in Transformation, Change Management, Strategy.

Trained and experienced in process improvement and change management methodologies like Six Sigma, Lean or equivalent degree from reputed university.

Demonstrated 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.

Proven track record in managing large scale complex programs within a matrix environment.

Proven ability to identify relevant data, pull the data and turn data into insights.

Preferred Qualifications

Six Sigma certified with understanding of LEAN process.

Demonstrated data analysis skill set via use of data query and analysis tools.

Demonstrated knowledge of US Healthcare industry, major healthcare entities, Member/Eligibility and claims lifecycle.

Proven experience with Payment Integrity business, Health Technology or Healthcare Financial Services.

Proven previous experience identifying and leading growth activities through optimization/improvement/transformation.

Proven experience driving affordability, medical spend avoidance programs.

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

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.

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