Director of Payment Integrity, Business Performance and Process Improvement

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.

We have a key leadership role open for the  Director Business Performance & Process Improvement, Payment Integrity based in Ireland. 

This is a key management position, based in Ireland, within a high value, fast paced and growing function and will lead significant change and transformation within the operations reporting to Senior Director / VP.  The successful candidate is accountable directly and indirectly through a matrix team as defined here.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin or Letterkenny office and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities:

• Develop Non-Clinical Business Process Improvement & Transformation Strategy across a span of value streams to support an ambitious growth target across cost efficiency and medical cost savings
• Partner with Operations leaders/teams, Analytics, R&D (Research & Development), Technology to develop Business Process Improvement & Transformation Strategy and to create CBA, execution roadmap/resource needs, assess capital needs
• Identify, lead specific strategic projects/initiatives while also keeping track of all initiatives within the overall strategy
• Ensure operational performance improvements are tracked accurately, by establishing and automating statistical control models for value streams, utilizing internal tools and processes (e.g., dashboards; scorecards; reports) to update relevant stakeholders on the status of work projects, with operational improvements and root cause actions taken quickly to remedy under performance, develop corrective action plans to address and resolve relevant stakeholders' concerns or issues regarding program performance as required
• Monitor and propose changes to performance metrics in partnership with finance, Analytics, workforce management / industrial engineering and ensuring benefits are accounted in P&L and productivity reports
• Provide guidance and assistance to internal and external (client) partners to ensure programs and strategies are implemented effectively and value realized
• Collaborate with stakeholders, ability to influence without authority to gain support and buy-in for proposed business process solutions and adherence to team requirements
• Communicate with Leadership/Senior Leadership about progress, challenges and actions required to remove hurdles

You will be rewarded and recognized 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:

• Proven track record in developing Transformation Strategy, driving Change Management, identifying and driving Innovation, or related functions
• Demonstrated deep understanding of process optimization and change management, with demonstrated experience leveraging automation, analytics, and data driven insights to drive sustainable operational improvements and adoption at scale 
• Demonstrated ability to engage and influence Senior Leadership through clear, compelling communication and executive level presentations, effectively articulating strategy, progress, risks, and decisions 
• Demonstrated solid financial acumen with demonstrated ability to rigorously review, challenge, and validate business cases, benefits assumptions, and investment returns, ensuring initiatives are financially sound and aligned to P&L, productivity, and medical cost savings commitments
• Proven experience managing multiple, concurrent programs and initiatives within a complex, matrixed environment, effectively coordinating a diverse set of stakeholders across Operations, Finance, Analytics, Technology, and external partners to drive alignment, resolve dependencies, and deliver outcomes

Preferred Qualifications:

• Masters Degree or Business Degree in Technology / Digital / Change Management 
• Six Sigma Black Belt certified with in-depth understand 
• Demonstrated knowledge of US Healthcare industry, major healthcare entities, Member/Eligibility and claims lifecycle 
• Proven experience with Payment Integrity business or Healthcare Financial Services 
• Proven ability to identify and lead growth activities

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.  

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 marginalized 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. © 2026 Optum Services (Ireland) Limited. All rights reserved.

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