Job Description
Director of Payment Integrity Capability Strategy
Optum is a global organization 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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Our mission is to help people live healthier lives and make the health system work better for everyone.
About the Role:
We are seeking a highly skilled and experienced Director of Payment Integrity Capability Strategy to lead our global payment integrity capability. As a key member of our team, you will be responsible for developing and implementing the global strategy for payment integrity, ensuring alignment with our business objectives and priorities. You will work closely with our regional and local capability teams, as well as our 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 payment integrity 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 payment integrity 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.
- 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.
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:
We offer a comprehensive benefits package, including flexible work arrangements, career development opportunities, and a dynamic work environment. As a member of our team, you will have the opportunity to work with a global organization that is committed to making a positive impact on the health and well-being of people around the world.