Sign In
 [New User? Sign Up]
Mobile Version

Director, Payment Integrity Consulting

UnitedHealth Group

Eden Prairie, MN
Job Code:
Apply on the Company Site
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

Director, Payment Integrity Consulting(Job Number:728676)

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)


The Director, Payment Integrity Consulting will expand the consulting offering area that focuses on health plan Payment Integrity initiatives. The role will drive client value through a range of consulting engagements to assess and improve claims accuracy and medical cost containment.


This role will develop consulting intellectual property, and consulting offerings associated with the payment integrity practice area. This senior consulting leader will also participate in the shaping, selling, and delivery of a range of consulting engagements across the payer value chain, in addition to providing leadership in Payment Integrity market space.


*** Travel is typically out on Monday and back late Thursday night, with work out of home office on non-travel days.  Flexible with location of residence.


Primary Responsibilities:

  • Responsible for delivering on the strategic direction for Optum's Payment Integrity consulting business
  • Lead the implementation of the strategic plan to meet and exceed financial commitments to clients
  • Establish business cadence (weekly, monthly, quarterly business reviews) to ensure results are met and exceeded or evolve existing business cadence to drive higher levels of performance
  • Ensure the right balanced scorecard is in place for the businesses and ensure we have the best possible metrics in place to manage the businesses on an ongoing basis
  • Accountable for financial and non-financial results
  • Project management and implementation, staff management
  • Partner with matrixed organizations (e.g. analytics, technology, finance, and human capital, sales) to ensure planned results are delivered
  • Develop an excellent working relationship with clients, both at the executive and daily operational levels
  • Drive plans to exceed client expectations and delight our clients
  • Responsible for setting critical goals and upholding a high standard of operational performance throughout the teams in assigned organization
  • Establish mechanism to drive for continuous improvement within the business; past experience driving process improvement initiatives; small scale and large scale is highly desired
  • Develop an internal and external communication strategy to proactively share with clients the value being driven for them and simultaneously engage the employee base within the business
  • Identify and execute on new opportunities for increases in efficiencies and performance
  • Apply analytical / quantitative approach to problem solving
  • Knows how to obtain and use data, and comfortable with statistical concepts
  • Utilize communication skills to influence and negotiate
  • Utilize one's strong interpersonal skills to work with all levels of management across all functional areas, as well as, business partners through internal entities

Job Bus Advisory & Tech Cnsltng
Primary Location US-MN-Eden Prairie
Other Location United States
Organization Ops Consulting
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Powered By

Featured Jobs[ View All ]

Featured Employers [ View All ]