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Optum, the fast-growing part of UnitedHealth Group, is a leading information and technology-enabled health services business. Our teams are dedicated to modernizing the health care system and improving the lives of people and communities.

Serving virtually every dimension of the health system, we work with a diverse set of clients across 150 countries – from those who diagnose and treat patients to those who pay for care, deliver health services, and those who supply the cures. Optum maintains operations across North America, South America, Europe, Asia Pacific and the Middle East. Our innovative partnerships provide technology and tools that enable unprecedented collaboration and efficiency. As a result, we can tap into valuable health care data to uncover insights and develop strategies for better care at lower costs.

Here at Optum, part of United Health Group we'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm)

About the Role:

As part of the Out of Network strategies team, you will manage and develop programs that impact UnitedHealthcare’s relationships with both its administrative services clients and contracted non-contracted care providers. As Senior Program Manager, you will manage Administrative Services Only programs, helping to build and develop solutions that meet the needs of our programs and self-funded clients across UnitedHealthcare. These clients employ UnitedHealthcare’s administrative capabilities and medical cost management solutions, while funding the cost of health benefits for their membership themselves. You will take the lead in building effective management strategies pertaining to UnitedHealthcare’s interactions with these network and out-of-network providers on the behalf of our clients to meet client market needs. You will work closely with Client Reporting and Analytics teams to build new informatics packages that demonstrate the impact of solutions and opportunities for more effective management of client health benefit plans. You will partner with internal and external stakeholders to help develop and implement medical cost savings initiatives both nationally and on a client specific level.

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 office and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities of the Senior Network Program Manager:

· Partner with US-based Out of Network Payment Strategy Team

· Follow team direction, resolve problems, and provide guidance to our business partners, Promotes Employee Engagement & Talent Development

· Participates in the development of business strategy, adapts departmental plans and priorities to address business and operational challenges

· Influences or provides input to forecasting and planning activities when required

· Build insightful competitive intelligence to inform ASO and fully insured (clients for whom UHC also finances healthcare benefits in addition to providing administration) strategies (i.e., other payers, vendor programs, etc)

· Analyze claim outcome performance along key indicators (e.g., compliance with regulatory audits, financial performance) to determine which programs to implement and/or modify

· Validate inventory data for programs and work with business partners and clients as needed to resolve issues

· Develop metrics and create performance reports for business partners and clients

· Provide input and feedback to senior leadership to suggest/recommend improvements to programs

· Create and/or implement communication/training materials (e.g., talking points; FAQs; step action chart; metric evaluation tools) to educate business partners and clients on new programs and/or processes

· Seek feedback from relevant internal and/or external stakeholders regarding potential program/network improvement opportunities and needs

· Collaborate with relevant internal and/or external stakeholders to resolve issues and obstacles with program performance

· Communicate with applicable stakeholders to provide performance updates regarding programs or inventory (e.g., objectives; goals; timelines; schedules; issues; performance against standard contract agreements)

· Follow-up with stakeholders to ensure issues have been resolved and addressed effectively and timely

· Manage relationships with business partners and clients to ensure program SLAs are met

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 of the Senior Network Program Manager:

· Undergraduate degree in applicable area of expertise or equivalent experience

· Experience working in a technology-enabled service industry, ideally with claims systems, cash management and application systems, pricing systems, or other transactional platform

· Experience in data analysis and the ability to convey complex or technical information in a manner that others can understand

· Proven ability to understand complex business processes and business-to-business ecosystems, with Project management experience

· Decisive decision making, with Proven experience delivering tangible value through programs directly led or overseen

· Excellent communication and interpersonal skills, including ability to communicate effectively with various levels of leadership

· Strong MS Office, Microsoft Project, and PowerPoint skills

Preferred Qualifications of the Senior Network Program Manager:

· Strong analytic skills to aid assessment of potential program opportunities, evaluation of program success/savings and to evaluate business risk impact

· Proven ability to work independently in the application of company goals and philosophies

· Demonstration of critical thinking skills and the ability to translate into results in a complex, matrixed and often ambiguous environment

· Demonstrated ability to multitask, organize and prioritize work and continue to monitor and make changes to work as the project needs dictate

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. © 2023 Optum Services (Ireland) Limited. All rights reserved.