Job Description
**Director, Payment Integrity Non-Clinical Vendor Insourcing Leader** **Job Summary:** Lead the development and execution of medical cost savings growth for United Healthcare and Commercial client health plans by ensuring payment accuracy. 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. **About the Role:** As a Fortune 5 business, we're one of the world's leading healthcare companies. We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding teams. **Key Responsibilities:** • Provide ideation and growth leadership specifically focused on the identification and resolution of Payment Integrity claim leakage through data, analytic and operational solutions. • Lead non-clinical leakage detection governance, including claim leakage oversight and business intelligence. • Take a client agnostic lens, lead large-scale data, analytic and utility change within a matrix environment with a focus on claim leakage detection, operational solutions and associated benefit realization. • Partner with data & analytic and engineering teams to ensure enabling capabilities are fully aligned. • Establish data and business controls to ensure growth opportunities are sourced and vetted appropriately prior to development and/or deployment. **Requirements:** • Bachelor's degree or commensurate experience. • Proven experience in leading data, analytic and technology change within a matrix environment with a focus on operational solutions and benefit realization. • Proven experience implementing business transformation initiatives from ideation to successful delivery. • Previous experience in influencing and understanding the necessary and appropriate actions to ensure maximization of financial results and objectives. • Project Management and/or Scrum certifications. • Extensive experience working with the ideation, development, and deployment of initiatives for in-year and multi-year benefit realization. • Previous experience working in a highly matrixed organization. • Strong conceptual and analytical skills. • Excellent interpersonal skills, ability to work across all functional areas, as well as business partners. **Preferred Qualifications:** • Knowledge of US Healthcare industry, major healthcare entities and claims lifecycle. • Proficiency at a senior management level within a multi-national enterprise with experience of leading 100+ professionals through a technology change cycle.