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Job Description
Director, Payment Integrity Non-Clinical Vendor Insourcing Leader
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.
**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:**
• Develop and steer strategy for Payment Integrity Affordability, delivering vendor insourcing and growth opportunities for United Healthcare.
• Lead large-scale data, technology, and application change within a matrix environment with a focus on operational solutions and benefit realization.
• Develop and agree operational requirements, resources, and 'business requirement documents' in partnership with finance, workforce management, and value streams as part of the insourcing strategy.
• Provide oversight on the portfolio of insourcing initiatives operationalized within value streams to achieve revenue and market share targets, contributing to medical cost savings growth and operating cost efficiency.
• Support the design and production of competitive intelligence infrastructure to enable preemptive action on external and internal factors that provide vendor opportunity.
• Lead and directly support operations insourcing subject matter experts across the non-clinical value streams.
• Partner with Operations leadership, Analytics, Research & Development, Technology, and Quality teams to ensure insourcing initiatives and strategies are implemented effectively.
**Requirements:**
• Bachelor's degree or commensurate experience.
• Proven previous experience in leading large-scale data, technology, and application change within a matrix environment with a focus on operational solutions and benefit realization.
• Proven experience in implementing business transformation initiatives from ideation to successful delivery.
• Influencing and understanding the necessary and appropriate actions to ensure maximization of financial results and objectives.
• Proven track record in delivering high-value improvement results within a business using data and technology as the key lever.
• Project Management and/or Scrum certifications.
• 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.
**About Optum:**
At Optum, our mission is to help people live healthier lives and make the health system work better for everyone. 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 – an enterprise priority reflected in our mission.