Director of Optum Payment Integrity - Remote

$122,100 - $234,700/Yr

UnitedHealth Group - Minnetonka, MN

Full-time - Director

Remote - Minnetonka, MN

Insurance Carriers and Related Activities

About the position

The Director of Optum Payment Integrity will lead the Payment Policy growth, ideation, and operations teams to achieve their goals. This role is crucial in developing new reimbursement policies and maintaining existing ones to ensure accurate claims payment. The position involves balancing team leadership, supporting growth initiatives, and innovating business processes to enhance outcomes while collaborating with various stakeholders.

Responsibilities

• Leading the team in achieving annual targets and monitoring business process information.
• Maintaining and auditing quality and control management processes.
• Conducting capacity planning and prioritization of business processes to drive affordability and compliance.
• Managing SLAs and key performance measures, providing measurement and reporting to stakeholders.
• Collaborating with stakeholders to drive operational ideation and growth, focusing on optimization and maintenance of edits.
• Developing and implementing a business-level strategy to enhance the operating model and improve process efficiency.
• Identifying opportunities to streamline and automate operations processes using new technology and tools.
• Providing leadership presence in people and talent management, ensuring a positive employee experience.

Requirements

• 7+ years of experience with UHC claims systems or support.
• 7+ years of experience with UHC Payment Policy through implementation, sourcing, or maintenance.
• 5+ years of experience in delivering executive level presentations.
• 5+ years influencing actions to maximize financial results and objectives.
• 3+ years of experience in managing a team of 20+ resources onshore/offshore.
• Experience working in a highly matrixed organization.

Nice-to-haves

• AAPC or AHIMA certification.
• Project Management and/or Scrum certifications.
• Demonstrated conceptual and analytical skills.
• Excellent interpersonal skills with the ability to work across functional areas.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution