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. 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 the Associate Director Growth & Innovation you will work with the reimbursement policy team. They are charged with implementing policies that reflect CMS guidelines on appropriate CPT codes to be applied when billing from Providers and Facilities. The Associate Director Growth & Innovation seeks to advance the opportunity to create new and enhanced policies that drive medical costs savings for our client, United Health Care. Primarily, the candidate will work closely with the Concept Research and Development team (CRD) and the Internal ideation team to ensure a steady stream of policy opportunities can be worked on by the policy management team.
The Associate Director Growth & Innovation will also seek to innovate in terms of improving current processes and removing non value add processes and shortening the end -to-end cycle of ideation to deployment and thereby increasing productivity and medical cost savings. In addition to having impact on a great team, you'll also discover the career opportunities you'd expect from an industry leader.
Primary Responsibilities:
- Monitor and report on the growth targets v forecast on a weekly and monthly basis
- Report out on target v forecast
- Ensure a regular cross check with CAST and other financial tools to ensure financial reporting reflects what is in our workflow tool (Service Now) and the build is updated and is consistent with CAST
- Prepare and analyze the PIPR report each month and flag any changes and explain any changes in CAST movements
- Monitor and report on SLA’s and KPI’s
- Design and plan key metrics within one vision that will drive operation success for the pay pol managers
- Complete MBR prep, Growth Scorecard and Client report out.
- Liaise with CRD and PRD on incoming ideations and ensure smooth pipeline of ideations for Payment Policy operations and AMS
- Maintain a timely inventory of ideations and map out (data visualize), the ideations as they work through the end-to-end process
- Ensure the process is as smooth as possible and work with CRD, PRD, Operations and AMS to remove any non-value add processes
- Work with operations and others on non CRD growth -internal ideation team, edit optimization, data science, vendor insourcing etc
- Ensure a regular cross check with CASH and other financial tools to ensure financial reporting reflects what is in our workflow tool (Service Now)
- Work on ad hoc projects that may be required that drive opportunity for Payment Policy
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 experience
- Extensive experience and understanding of US Healthcare or Heath Insurance Industries
- Financial reporting and communication skills
- Ability to work collaboratively with key stakeholders including but not limited to CRD, operations, AMS, UHC and across Payment Integrity
- Ability to work a portion of monthly work hours from our Dublin or Letterkenny office
Preferred Qualifications:
- Excel and Power point skills and the ability to interpret and report out on key data
Soft Skills:
- Proven ability to deal with partners and negotiate effectively
- Self starter - Proven good problem-solving attitude
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. © 2023 Optum Services (Ireland) Limited. All rights reserved.
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