If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life’s best work.(sm)
A passion for innovative thinking and delivering value for our customers is what we are looking for. Optum Payment Integrity is serving the US health care market leveraging data and analytic solutions that will unlock improvements in medical spend. We are using big data to identify new medical spend opportunities and leveraging novel and innovative solutions to improve payment accuracy for our customers. If you thrive an evolving market and operating in a highly matrixed environment with high performance expectations, we should be talking. Join the expanding family of UnitedHealth Group companies and help shape history. You’ll help us improve the lives of others while doing your life’s best work.(sm)
The Optum Payment Integrity Research and Development Vice President is responsible for influencing and executing Optum Payment Integrity’s Research and Development strategy.
Key responsibilities include:
Accountable for developing and steering strategy and acts as a thought leader for Payment Integrity Affordability by identifying and delivering growth opportunities for United Healthcare and managing the associated portfolio.
Ownership of the overall UHC Payment Integrity medical cost spend, incremental savings target of in excess of $500M and its associated revenue for Optum Payment Integrity. Supports the overall growth target for Optum Payment Integrity.
Executive level engagement and stakeholder management with both internal and external customers, with highly polished communication skills
Accountable for an Affordability team composed of Ideators, Analysts, Clinicians and Pharmacists: responsible for the generation and validation of new prospective and retrospective concepts to improve payment accuracy and generate incremental medical cost spend savings.
Accountable for coordination across the entire ideation and growth land scape for Optum Payment Integrity, ensuring that all areas are collaborating and KPI’s are managed effectively to ensure an efficient delivery of value and there is clear strategy to deliver across all spend categories.
Understand the current and emerging trends of medical spend of our customers and there is a clear strategy to address these trends as they emerge to capitalize on market share for the PI business.
Accomplished innovator and communicator able to translate highly complex concepts into simple language to drive understanding and reduce complexity in process to accelerate deliverability in value.
Bachelor’s degree or commiserate experience
5 years of Senior Leadership experience in either Claims Adjudication or claims billing
5 Years of Affordability (Trend Bending Opportunity) Leadership on behalf of a health plan.
10 Years of experience in monitoring shifting industry trends in health care delivery and their relationship with claims adjudication & payment.
Willingness to locate and work in Dublin.
Preferred:
Payment Integrity experience
Master’s level education
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
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.
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.
Technology Careers with Optum. Information and technology have amazing power to transform the health care industry and improve people’s lives. This is where it’s happening. This is where you’ll help solve the problems that have never been solved. We’re freeing information so it can be used safely and securely wherever it’s needed. We’re creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.(sm)
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.
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