Director, Non-Clinical Competitive Intelligence, Optum Payment Integrity, Operations

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. Operations Payment Integrity within Optum Payer Operations is responsible for driving the development and execution of medical cost savings growth for UnitedHealthcare and Commercial client health plans by ensuring payment accuracy to support the enterprise objectives. The Operations Ideation & Growth function drives significant medical cost savings from claims received by health care providers through all lines of business / Health plans in parallel to other operations within Payer Payment Integrity, technology, analytic & enablement teams. This is a global leadership role, hired in Ireland, leading the Competitive Intelligence function within the non-clinical payment integrity portfolio. Competitive Intelligence exists to ensure that overpayment value present in the market is identified and recovered by our own operation rather than lost to third-party recovery vendors. The team pairs experienced claims platform auditors with business analysts to uncover overpayments through exploratory auditing and self-generated analytic inventory, and to detect, size and recapture value leaking to the external market beyond the standard post-payment review window. The successful candidate will define the competitive strategy, lead the ideation and audit engine that delivers it, and produce measurable outcomes in market share, medical cost savings, revenue and affordability. 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.

Lead the enterprise Competitive Intelligence portfolio and growth strategy across non-clinical Payment Integrity products delivering medical cost savings, affordability, revenue and market share growth Own external signal detection and opportunity generation. Build an intelligence-led model that surfaces new opportunity from provider billing trends, competitor activity, payer behaviour, claim patterns, regulatory change, rejected inventory and white space Drive the end-to-end opportunity lifecycle, signal detection, lead generation, sizing, financial validation, business case, governance approval, deployment and realized value, against affordability and growth commitments Reduce external leakage and displace vendor spend. Quantify and eliminate leakage, expand internal capability to displace third-party vendors, and convert market share gains into measurable external spend reduction Build AI-powered intelligence and automation capability. Lead adoption of AI, machine learning, predictive analytics, agentic workflows and contract intelligence to improve signal generation, identification precision, auditor productivity and deployment velocity Accelerate claim lifecycle innovation and prevention. Partner with Product, Operations, Analytics and Technology across pre-payment prevention, payment accuracy, post-payment recovery and root-cause remediation to shift value upstream Provide executive portfolio governance. Maintain visibility of market dynamics, competitive positioning, vendor performance, pipeline health, forecast accuracy and value realization through established operating reviews Develop a high-performing global organization. Build and lead a distributed team of competitive