Associate Director - Payment Integrity Ideation,
Associate Director - Payment Integrity Ideation,
2 days ago Be among the first 25 applicants
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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
In healthcare, evolution doesn’t just happen. It takes innovation, imagination, and a passion for solving problems in new and better ways. And innovation is taking place at a lightning-fast pace every day at Optum.
As the fastest growing part of the UnitedHealth Group family of businesses, we’re expanding our team in Ireland and creating excellent opportunities for those who want greater purpose and more impact in their work. We’ll provide the investment, support, and resources to advance your career. You’ll provide the talent, ambition, and drive.
As an Associate Director, Ideation you will research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. You’ll have the opportunity to Identify potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses.
Primary Responsibilities
* Identify, create, and develop a portfolio of cost savings initiatives that drive specific and measurable results for clients while providing timely and meaningful client updates
* Perform and participate in iterative analytical, experimental, investigative and other fact-finding work in support of concept development
* Establish strong matrixed relationships with internal stakeholders to define, align, and deliver payment integrity initiatives in support of assigned clients
* Influence senior leadership to adopt new ideas, approaches, and/or products
* Recommend changes to current product development procedures based on market research and new trends
* Industry thought leader and subject matter expert for Professional and Facility claims, related trends, pricing, and cost management initiatives
* Lead concepts/projects from conceptualization to completion
You will be rewarded and recognised 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 providing development for other roles you may be interested in.
Required Qualifications
* Bachelor’s degree (or higher) OR equivalent work experience
* General knowledge of the U.S. healthcare system
* Experience in payment integrity or broader health plan affordability initiatives
* Experience using data to inform ideation and strategy toward medical cost savings opportunities
* Proficient in Excel, Visio, PowerPoint, and Tableau
Preferred Qualifications
* Advanced degree in health care or medical field
* Exposure to Payment Integrity
* Coding certification through AAPC or AHIMA
* Experience in claims adjudication or revenue cycle management
Soft Skills
* Ability to build credibility and collaborate across levels, functions, and business units
* Demonstrated success managing multiple high-priority initiatives with clear outcomes and tight timelines
* Communication skills with the ability to translate complex data into actionable insights and influence decisions
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.
All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy.
At UnitedHealth Group, 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalised groups and those with lower incomes. 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.
Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. 2024 Optum Services (Ireland) Limited. All rights reserved.
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