Director Of Payment Integrity Capability Strategy Job In Letterkenny

Director Of Payment Integrity Capability Strategy - Optum
  • Letterkenny, Ulster, Ireland
  • via BeBee.com
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Job Description

**Director of Payment Integrity Capability Strategy** **Lead the development and implementation of a global strategy for Payment Integrity, driving excellence and innovation in capability delivery and performance.** Optum is a global organisation 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. **Key Responsibilities:** • **Define and communicate the global vision, mission, and goals for Payment Integrity capability**, ensuring alignment with the business/transformation strategy and stakeholder expectations. • **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**, 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**, ensuring 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. • **Represent the capability area of expertise in 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. • Excellent communication and interpersonal skills, with the ability to influence and collaborate with diverse stakeholders at all levels. **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. **About Optum:** 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. **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.

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