Optum is a global leader dedicated to improving lives through innovative care and technology. Join a team focused on advancing health optimization worldwide, where your contributions directly enhance health outcomes by connecting individuals with essential care, pharmacy benefits, data, and resources. We foster an inclusive culture, offering opportunities to collaborate with talented professionals, access comprehensive benefits, and pursue career development.

We are seeking an Associate Director of Payment Integrity Operations to lead extensive back-office delivery and drive comprehensive revenue outcomes. This senior leadership role is critical for integrating and accelerating the Payment Integrity Operations Effectiveness agenda across global operations.

The Associate Director will drive Operations Effectiveness by enforcing operational rigor and ensuring consistent, reliable execution. This role involves managing, mentoring, and developing Payment Integrity Out-of-Office (OOG) teams, ensuring adherence to local policies and operational rhythms.

Key responsibilities include providing leadership through managers and senior staff to meet operational, financial, quality, and customer experience goals. The role involves developing and executing functional strategies, leading operational planning, forecasting, resource allocation, and service delivery to meet performance metrics and SLAs. Participation in business expansion, service transitions, and operational transformation initiatives is also expected.

A Bachelor's Degree or equivalent work experience is required, coupled with over 10 years in healthcare operations, customer service, or patient experience leadership roles, including substantial experience in BPO/shared services. You should have at least 5 years managing large-scale back-office operations within US healthcare and 5 years of people management experience, including managing managers.

Demonstrated expertise in monitoring quantitative and qualitative performance metrics, driving operational improvements, and enhancing customer experience is essential. Experience leading operational transformation, process improvement, or service delivery initiatives is highly valued, as is experience within complex, matrixed, and multicultural organizations. Proficiency in Microsoft Office Suite (especially PowerPoint and Excel), managing stakeholder relationships, and resolving complex operational escalations are critical. Experience managing accounts and operations across multiple geographies, preferably including India and the Philippines, is also a key requirement.