Associate Director - Analytic And Business Planning Data Mining And Recovery Operations, Payment Integrity

Associate Director - Analytic and Business Planning Data Mining and Recovery Operations, Payment Integrity

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.

As a Fortune 5 business, we're one of the world's leading healthcare companies. There are no limits here on the resources you'll have or the challenges you'll encounter. We have been supporting global healthcare systems from Ireland and the UK for more than 20 years, building a dynamic and diverse team of more than 2,100 talented individuals. With a continued record of growth and stability, we're on the constant lookout for fresh talent to join our expanding teams.

United Data Mining and Recovery Operations Analytic and business planning Leader manages and analyzes the profitability and productivity across segments. The role of Associate Director of Analytic and Business Planning will actively review and improve the performance of production analytics while ensuring SLA (Service Level Agreements) adherence. This role will engage with matrix partners, conducting analysis on the profitability of the analytics and is accountable across applications in DMRO. This role leads the business planning and wave item performance and execution.

Schedule: This is a full-time position with standard working hours of Monday - Friday, 9am - 5pm.

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

• Responsible for leading the DMRO Data strategy: Conduct, manage, and execute the Data strategy, which includes analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning.
• Develop and enhance the appropriate set of standard metrics, scorecards, dashboards, and other reporting.
• Monitor performance, highlighting trends and analyzing causes of major variances and support business planning across the organization.
• Participate in monthly business reviews (MBRs) with Operations leadership along with design and ongoing support of content required.
• Develop, support, and present ad-hoc client and operational reports.
• Represent business operations owners/leaders as necessary to report on and explain results.
• Responsible for execution and management of Data Mining Recovery Operations WAVE portfolio.
• Interpret data to provide actionable insights that drive operational efficiency, productivity improvement and operational optimization.
• Partner with Analytics team to develop new analytics, implement enhancements, and ensure hit rate and profitability are achieved.
• Partner with Growth and Exploratory team to identify root causes for leakage and identify growth opportunities.
• Partner with UHC Payment Integrity to identify claim spend trends and factors which may impact DMRO.
• Act as a change leader, collaborating between production operations and matrix partners to embed data, analytic, and business process changes.
• Lead the Operational Excellence program across DMRO
• Any other activities as required.

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

• Undergraduate degree or equivalent experience
• Extensive Claims knowledge and/or Payment Integrity experience
• Intermediate SQL, analysis, and data Visualization skills
• Strong analytical, problem-solving mindset and data analysis skills
• Strong project management and prioritization skills
• Ability to design and perform insightful analyses as required to identify key business drivers of growth and efficiency / productivity, answer strategic questions and support delivery of internal business goals and client commitments
• Experience in analysis of business processes and workflows, and providing evaluations, benchmarks, and/or process improvement recommendations

Preferred Qualifications

• Advanced Microsoft Office skills, especially Excel, Power Point and Access
• Experience working with health care operations
• High standards of accuracy and precision; highly organized
• Highly motivated and driven individual with the ability to think creatively
• Ability to work across multiple teams and supporting functions to organize and align resources to achieve objectives described above while minimizing impact on business operations owners
• Ability to manage a complex system of daily, weekly, monthly, and annual reporting deliverables effectively and accurately as required by internal stakeholder and external business customers

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 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. © 2025 Optum Services (Ireland) Limited. All rights reserved.