Job Descriptions

About the Role

At UnitedHealth Group and Optum, we want to make healthcare work better for everyone. This depends on hiring the best and brightest. With a thriving ecosystem of investment and innovation, our business in Ireland is constantly growing to support the healthcare needs of the future.

Our teams are at the forefront of building and adapting the latest technologies to propel healthcare forward in a way that better serves everyone. With our hands at work across all aspects of health, we use the most advanced development tools, AI, data science and innovative approaches to make the healthcare system work better for everyone. Join us and do your life's best work.

A passion for innovative thinking and delivering value for our customers is what we are looking for.  Optum Payment Integrity is serving the US health care market leveraging data and analytic solutions that will unlock improvements in medical spend. We are using big data to uncover new solutions and novel marketplace opportunities. If you thrive on making an impact in an evolving market and operating in a highly matrixed environment, we should be talking. Join the expanding family of UnitedHealth Group companies and help shape history. You'll help us improve the lives of others while doing your life's best work.

The Optum Payment Integrity Research and Development Lead is responsible for influencing and executing Optum Payment Integrity’s Research and Development strategy.

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

Primary responsibilities:

• Lead an ideation team of SME’s and analysts: responsible for the generation and validation of new prospective and retrospective concepts to improve payment accuracy
• Accountable for development, oversight, and management of the portfolio of opportunities and associated KPI’s to improve claims payment accuracy whose approval and eventual impact most navigate a highly matrixed environment
• The leader and their team, engages easily across a complex and matrixed landscape, navigating easily amongst business partners in operations, analytics, finance, legal and our customers to deliver value in support of our medical cost savings objectives
• Implement strategies and associated plans to exceed medical spend cost savings expectations and delight our clients
• Understand the current and emerging trends of medical spend of our customers and ensure the ideation team is structured to anticipate shifts in spend
• Act as a thought, change agent and champion in ideation for the payment integrity business, coordinating to ensure ideation and concept development is occurring in a coordinated way across the payment integrity business
• Accomplished innovator and communicator able to translate highly complex concepts into simple language to drive understanding and reduce complexity in process to accelerate deliverability in value

Required Qualifications

• Bachelor's degree, MBA preferred or demonstrable equivalent
• Extensive experience in healthcare with increasing levels of responsibility.
• Significant experience in program governance and managing processes which are cross functional and end to end in nature
• Demonstrated results in building structure and predictability into a process which is complex and highly variable in nature.
• Experienced in delivering on commitments in a matrixed environment
• Superior organizational and communication skills
• High energy, detail oriented and creative individual

Preferred Qualifications:

• Advanced degree (e.g., MBA, MHA)
• Payment Integrity experience  
• Strong financial acumen and experience.

Skills

• Communication Skills
• Organisational Skills

Experience

• 10+ years