Job Description
Director of Payment Integrity Capability Strategy
Develop and implement global strategy for Payment Integrity capability, ensuring alignment with business objectives and priorities.
Lead definition and communication of global vision, mission, and goals for PI capability, ensuring alignment with business/transformation strategy and stakeholder expectations.
Lead development and execution of global capability roadmap, identifying and prioritizing key initiatives, projects, and activities to deliver desired outcomes and impact.
Establish and maintain effective relationships with PI Capability work stream and Cross Capability teams within enterprise, as well as global functional leaders, to ensure alignment, collaboration, and coordination across capability network.
Own and evaluate capability delivery and performance, using relevant metrics and indicators, and implement continuous improvement actions to ensure quality, efficiency, effectiveness, and incremental benefits.
Represent capability area of expertise in relevant internal and external forums, events, and networks, and act as subject matter expert and thought leader.
Key Responsibilities:
- Develop and communicate global vision, mission, and goals for PI capability
- Lead development and execution of global capability roadmap
- Establish and maintain effective relationships with PI Capability work stream and Cross Capability teams
- Own and evaluate capability delivery and performance
- Represent capability area of expertise in internal and external forums
Requirements:
- Bachelor's degree or equivalent in relevant field, such as business, management, or human resources
- Extensive leadership experience in driving capability expertise
- Strong strategic thinking and planning skills
- Proven track record in developing Transformation Strategy, driving Change Management, identifying and driving Innovation, or related functions
- Excellent communication and interpersonal skills
- Highly adaptable and flexible
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
Optum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives.
We believe everyone–of every race, gender, sexuality, age, location and income–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.
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.