Job Description
Director of Payment Integrity Capability Strategy
Optum is a global healthcare organization that delivers care and technology to help millions of people live healthier lives. We are seeking a highly skilled Director of Payment Integrity Capability Strategy to join our team in Dublin or Letterkenny, Ireland, in a hybrid work model.
About the Role:
The Director of Payment Integrity Capability Strategy will be responsible for developing and implementing the global strategy for Payment Integrity, ensuring alignment with business objectives and priorities. This role will work closely with regional and local capability teams, as well as global functional leaders, to drive excellence and innovation in capability delivery and performance.
Key Responsibilities:
- Lead the definition and communication of the global vision, mission, and goals for Payment Integrity capability.
- Develop and execute the global capability roadmap, identifying and prioritizing key initiatives, projects, and activities to deliver desired outcomes and impact.
- Lead and collaborate with global capability work stream leaders/team and Analytics, Automation, Data, Technology teams to ensure high performance and engagement.
- 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 the 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.
- Identify and leverage best practices, innovations, and learnings from the capability network and external market, 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.
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 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.
What We Offer:
At Optum, we offer a dynamic and inclusive work environment, comprehensive benefits, and career development opportunities. 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.