UnitedHealth Group Hiring for Associate Director Payment Policy Oversight – Dublin/Letterkenny – Ireland Job at Dublin , Ireland Full Time

Optum, the fast-growing part of UnitedHealth Group, is a leading information and technology-enabled health services business. Our teams are dedicated to modernizing the health care system and improving the lives of people and communities.

Serving virtually every dimension of the health system, we work with a diverse set of clients across 150 countries – from those who diagnose and treat patients to those who pay for care, deliver health services, and those who supply the cures. Optum maintains operations across North America, South America, Europe, Asia Pacific and the Middle East. Our innovative partnerships provide technology and tools that enable unprecedented collaboration and efficiency. As a result, we can tap into valuable health care data to uncover insights and develop strategies for better care at lower costs.

About the role:

In this role you will reinforce oversight for Payment Integrity Payment Policy and along with operations oversight for all Lines of Business. Your responsibilities will include assisting with execution of new policies, expansion of existing policies, inventory pipeline monitoring and providing backing to determine prioritization to uphold financial targets. It will be your responsibility to help and support for escalating solutioning for barriers to operational requirements, including ongoing maintenance. You will ensure key performance measures and metrics are monitored with engage in actions needed to assist in meeting agreed upon indicators. You will participate in meetings that support interfacing activities with PI Operations.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin or Letterkenny office and telecommuting from a home-based office.

Responsibilities:

• Engages in the Payment Policy and Reimbursement review and process implementation for UHC. Encouraging the timely execution of policy defined as priority based on current business need.
• Participates in meetings with business stakeholders as needed across UHG on outcomes and ensures communication strategies are aligned across each of the supporting Shared Services infrastructure so Providers have consistency in messaging.
• Engaged in the development of management reporting to identify root cause impacts and trending to ensure affordability savings meet the needs of the business.
• Recognizing internal impact(s) of outcomes and reaction of constituents and provides messaging to upper management based upon identified issues.
• Supports the oversight of inventory governance by managing production throughout for CRD, Optum Operations and AMS.
• Actively engaging in inventory pipeline prioritization across all tracking tools used to capture and monitor ideation concepts under review.
• Collaborate with the Director by assisting in the reprioritization of ideation concepts, as required by short term business needs.
• Assist in the translating and support of business requirements in new policy development and current policy enhancement(s).

• Supports the achievement of the annual affordability target responsibilities assigned to the Reimbursement Policy function.
• Engaged in all new affordability and reimbursement related initiative.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Involvement with claims related initiatives that involve complex regulatory requirements and clinical collaboration.
• Ability to assist with the management ad coordination of divergent business priorities with lean resources
• Participate in and support the navigating of complex stakeholder relationships in a matrix environment with politically sensitive concerns.
• Ability to work a portion of monthly work hours from our Letterkenny or Dublin office is required

Preferred Qualifications:

• The ability to comprehend and research CMS processing requirement for Medicare, Medicaid, and Dual SNP populations
• Strong communication skill sets, with the ability to support and present information in a variety of different formats to all levels of stakeholders.
• Moderate analytical skills, with the ability to articulate and define outcome measures that capture key affordability metrics.
• Provide input into and/or develop relevant policies, procedures, and/or work tools to support new or updated business processes.

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.SM

All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Key Words: #RPO, Associate Director, payment integrity, payment policy, claims, matrix, Ireland, Letterkenny, Dubli