Job Description
Job Summary: Director of Payment Integrity Capability Strategy leads the development and implementation of a global strategy for Payment Integrity, aligning with business objectives and priorities, driving excellence and innovation in capability delivery and performance.
As a global organisation that delivers care, aided by technology to help millions of people live healthier lives, Optum is seeking a highly skilled and experienced professional to assume this critical role. The Director of Payment Integrity Capability Strategy will be responsible for developing and implementing the global strategy for the Payment Integrity capability, ensuring alignment with the business objectives and priorities.
Key Responsibilities:
- Develop and execute the global capability roadmap, identifying and prioritizing key initiatives, projects, and activities to deliver desired outcomes and impact.
- Lead and collaborate closely with global capability work 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, sharing and disseminating them across PI Capability.
- Represent the capability area of expertise in relevant internal and external forums, events, and networks, acting as a subject matter expert and thought leader.
Requirements:
- Bachelor's degree or equivalent in a relevant field, such as business, management, or human resources.
- Extensive leadership experience in driving capability expertise, with a 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 the US Healthcare industry, major healthcare entities, Member/Eligibility, and claims lifecycle.
- Experience with Payment Integrity business, Health Technology, or Healthcare Financial Services.
- Experience in identifying and leading growth activities through optimization, improvement, and transformation.
- Experience in driving affordability, medical spend avoidance programs.
- Knowledge and experience of operational metrics, workforce management, people metrics, process improvement, and change management.
- Experience and/or viewpoint of analytics and technology strategy.
About Optum:
Optum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone, regardless of background, deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
Equal Employment Opportunity:
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.