HL7 Integration Specialist - EHR Systems - Letterkenny 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. About the Role Do you have experience working with HL7 standards and health system integrations? At our newest Electronic Health Record Centre of Excellence in Letterkenny, Ireland, we're assembling a dynamic team committed to revolutionizing the industry. Our mission is simple: to make the health system work better for everyone. Here, you'll collaborate with some of the brightest minds in the field to make the future of healthcare a reality. As an HL7 Integration Specialist - EHR Systems, you will serve as a liaison between end-users and provide advisory support to build and maintain health data integration components, collaborating with other information management resources within the growing Epic application team. We’re particularly interested in individuals with experience of interface engines, integrations, interoperability, and health data. Epic training will be provided. Most importantly, our team will foster a culture of diversity and inclusion and drive innovation for our company and our clients. Primary responsibilities of the HL7 Integration Specialist - EHR Systems: Act as a vital link between end-users and our technology solutions, focusing on HL7 standards and health system integrations. Design, develop, and maintain integration components within Epic EHR system, ensuring scalability and efficiency. Collaborate with our diverse team to translate complex business requirements into practical healthcare IT solutions. Assist with building interfaces and data conversion for Epic EMR implementation along with post go-live support following deployment of new interface or a new EMR implementation. Review, build, test, and implement new functionality via System Upgrades and Special Updates. Responsible for development and documentation of internal procedures to use in conjunction with Epic applications. Offer technical guidance on significant projects and mentor junior team members in Epic interface and system integrations. Required qualifications: Experience with HL7 (Health Level Seven Standard) or any other Health Data exchange including HL7 FHIR, HL7 CDA, Web Services and HL7 v2. Experience working with developing interfaces on integration / interoperability engines (at least one) such as InterSystems, Rhapsody, Cloverleaf, Mirth Connect, Microsoft BizTalk, Corepoint, Qvera, IBM Integration Bus, WebSphere Message Broker or other similar. Understanding of software testing approaches and prior experience performing unit testing, integration testing, etc. Experience mentoring and providing subject matter expertise to junior engineers. Proficiency with Microsoft Office Suite (Excel, PowerPoint & SharePoint). Preferred qualifications: Degree in Computer Science, Information Technology or related field, or equivalent experience. Certifications on any of the Interoperability / Integration Engine products such as InterSystems Ensemble, Rhapsody, Cloverleaf, Mirth Connect, Microsoft BizTalk, etc. Experience with SQL, MSSQL, Oracle data management programming skills. Proficient in programming and scripting hands on C++, C#, JavaScript, VBScript or ASP.Net or any other programming language. Experience with Microsoft Visio. Familiarity with Epic applications or other Clinical EMR system. All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. #J-18808-Ljbffr
Optum is a global organisation 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. About the Role: At UnitedHealth Group and Optum, we want to make healthcare work better for everyone. This depends on hiring the best and brightest. With a thriving ecosystem of investment and innovation, our business in Ireland is constantly growing to support the healthcare needs of the future. Our teams are at the forefront of building and adapting the latest technologies to propel healthcare forward in a way that better serves everyone. With our hands at work across all aspects of health, we use the most advanced development tools, AI, data science and innovative approaches to make the healthcare system work better for everyone. As a Principal Data Scientist , you will play a crucial leadership role in the development and implementation of advanced reporting, analytic approaches, and tooling. You will work closely with other leaders to improve the efficiency and effectiveness of the entire organisation. We’re looking for a thought leader who thrives on architecting new solutions to solve tough challenges, and to help us on our mission of helping people live healthier lives. The successful candidate will collaborate cross-functionally with various business and data analytics teams, have proven business analysis experience, and the ability to manage multiple competing business projects at one time. 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 of the Principal Data Scientist: Architect the solutions; collaborate with stakeholders and internal business partners to understand business requirements and translate them into analytical solutions. Design, code, test, document, and maintain high-quality and scalable Big Data solutions, delivered on time. Accountability for socialising to the leadership; provide insights and guidance into actionable analytic findings through clear, succinct written and oral summaries, tables, charts, reports or presentations, that can be understood by a variety of audiences. Synthesise business requirements and translate into technical specifications. Define technical, data and system configuration specifications and business analysis requirements. Identify gaps, process improvement, and automation opportunities, and lead such activities to execution. Anticipate customer needs, proactively develop & deliver solutions to meet them, and forecast/predict the impact to the business. Develop insights regarding the effectiveness of existing analytic tools and methodologies and recommend changes. Utilise a broad range of analytic approaches including predictive analytics, issue detection, trend analysis, and data visualisation to best address the business priorities. Apply knowledge of statistics, machine learning, programming, data modeling, simulation, and advanced mathematics to recognize patterns, identify opportunities, pose business questions, and make valuable discoveries leading to prototype development and product improvement. Develop proficiency with departmental programming, analytic, and reporting software and other tools. Comply with and contribute to departmental standards related to data, data governance, project planning, validation, and documentation. Migrate data from legacy systems to new solutions. Mentor junior resources to develop their analytic skills. Design conceptual and logical data model and flowcharts. 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 of the Principal Data Scientist: Bachelor’s Degree in relevant field (data science, analytics, mathematics, economics, business, statistics, engineering, or finance) or equivalent experience. Extensive experience working within technical and business professionals in a matrix management environment, managing multiple priorities and deadlines. Proven track record of leading analytics projects requiring experience with statistical models with an understanding of different statistical methods and approaches. Clearly demonstrated expertise in problem solving, data management, study design, and study implementation. Advanced experience in Machine Learning or AI model development and deployment. Expert proficiency in SQL, and at least one scripting language such as SAS, R, or Python. High degree of proficiency with Data Visualisation / Dashboard tools (e.g., Power BI). Extensive experience (end to end) in Machine Learning Algorithms on OCR, Voice, Speech, Deep Learning, Transformers etc. Preferred Qualifications of the Principal Data Scientist: Ph. D or Master’s Degree in relevant field (data science, analytics, mathematics, economics, business, statistics, engineering, or finance) or equivalent experience. Experience or knowledge of cloud-based data analytics e.g. (AWS, Azure, Snowflake). Experience in medical data including hospital, ancillary, and physician. Experience in Generative AI Use Cases leveraging LLM’s and exposure to LLMs like Langchain, RAG, ChatGpt 4 and Chatgpt 4oc. Understanding of Medicare risk adjustment programs. 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. All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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. #BBMEMEA #J-18808-Ljbffr
Epic Willow Analyst - Hybrid, Letterkenny Optum, the fast-growing part of UnitedHealth Group, is a leading information and technology-enabled health services business. Our teams are dedicated to modernising 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. Primary Responsibilities: Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module related to Willow. Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements. Lead small to medium complexity Epic software upgrade initiatives or enhancements to workflows including the design, build, and test phases. Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs. Provide technical and/or clinical consultation including application configuration. Review, analyze, and evaluate system needs to develop recommendations for customers. Develop, support and maintain all required system design and build documents and other system documentation. Perform daily monitoring of applications in production use. Actively participate in all phases of the testing lifecycle and perform unit, system and integrated testing tasks and activities for EpicCare Inpatient workflow. Provide support of application incidents reported through the help desk, including 24/7 on call coverage as required. Obtain and maintain in-depth knowledge of software functionality; acquire and utilize knowledge of operational workflows to be implemented. Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Work with trainers to develop and maintain application specific training curriculum and materials. Translate business requirements into functional specifications and manage changes to specifications prioritizing, coordinating, and implementing updates and requested changes to the system; review and test each new release; troubleshoot problems and questions from end users. Adhere to organization standards for system configuration and change control. Develop strong relationships with end user communities, customers and business partners. Facilitate communication with stakeholders from initial requirements to final implementation. Troubleshoot and/or resolve application issues and escalate more complex issues as appropriate. Required Qualifications: Degree required e.g. Associate, Bachelor, Master or a minimum of proven years healthcare experience. Active / current Epic certification in at least one area; Willow, or Beacon and strong Epic Experience. Direct client healthcare domain knowledge such as clinical documentation workflow, patient portal, closing encounters, and patient flow. Preferred Qualifications: Ability to demonstrate and have a history of team management (informal or formal), cross-team communication and leadership skills. Experience in department build, and implementing community connect locations. Proficiency with Excel, Visio, PowerPoint and SharePoint. Experience mentoring individuals or teams within the system. Knowledge and experience using basic and intermediate project management tools and techniques. Ability to handle multiple client assignments and communicate with all stakeholders involved. Ability to communicate tactfully and work effectively with patients, physicians, vendors and system staff at all levels. Capable to lead and work well in a diverse, multi-disciplinary team. Key Competencies: Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities. In-depth knowledge of Epic EMR and the full implementation lifecycle of Epic’s suite of EMR applications. Teamwork and Collaboration. Consultative and collaborative style with demonstrated ability with cross-functional teams. Demonstrate the ability to build and maintain strong internal relationships as well as motivate and inspire other team members through strong consultative skills. Demonstrates a strong ability to build partnerships and influence others. Work across team, group and business boundaries to drive commonality and reusability in solution to real-world problems. Demonstrate strong relationship management skills and ability to handle challenging interpersonal situations. 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. #J-18808-Ljbffr
Senior Business Analyst - Letterkenny, Hybrid 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. In healthcare, evolution doesn’t just happen. It takes innovation, imagination, and a passion for solving problems in new and better ways. And innovation is taking place at a lightning-fast pace every day at Optum. As the fastest growing part of the UnitedHealth Group family of businesses, we’re expanding our team in Ireland and creating excellent opportunities for those who want greater purpose and more impact in their work. We’ll provide the investment, support, and resources to advance your career. You’ll provide the talent, ambition, and drive. As the Senior Business Analyst and a key member of the Risk and Quality Operations (RQO) team, you will play an important role in delivering UnitedHealth Group's mission of helping people live healthier lives. The primary responsibility of this position will be to ensure client delivery of supplemental data from Optum coding projects for prospective and retrospective chart review services. The data is delivered to its clients in a format that can be used for submission to the Centers for Medicare/Medicaid Services (CMS) or the US Department of Health and Human Services (HHS) for risk adjustment payments. The Business Analyst will be responsible for monitoring throughput from upstream business partners, ongoing reconciliation activities, analysis of discrepancies, and implementing new products and clients. As a Business Analyst, you will be challenged to make recommendations as to how performance can be continuously improved. Join us! There's never been a better time to do your life's best work. Working Schedule Careers with Optum offer flexible work arrangements. Primary Roles & Responsibilities of a Senior Business Analyst role: Collaborate with cross functional teams to enhance customer satisfaction and proactively address client requests, gaining a comprehensive understanding of the entire client data flow. Create and manage operational throughput reports using tools such as SQL, Excel and ETL tools like Talend. Identify and implement process improvements to drive revenue growth, ensure high-quality service, streamline operations, reduce costs, and eliminate manual intervention. Demonstrate understanding of how end-to-end business processes impacts throughput and error rates. Analyze metrics and trends to identify potential defects and take proactive measures to address them. Conduct error remediation in advance of CMS/HHS deadlines. Manage file creation, quality assurance, and delivery for assigned clients. Assist with Operational Readiness tasks such as client implementations, setting up ECG connections for data exchange, performing UAT and integration testing. Take shared accountability for the team’s Audit Controls and Support initiatives. 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 a Senior Business Analyst Role: Proven business analysis experience in healthcare industry. Intermediate proficiency in SQL (Oracle, PL/SQL, SQL, SQL*Plus) - ability to pull and analyze data, as well as update and alter internal tables. Intermediate experience in Excel (pivot tables, V or H look ups, data validation, creating internal/external reports). Solid communication and organizational skills. Ability to research conflicting and/or inaccurate data and determine root cause. Proven experience in acting independently with minimal supervision. Proficient in Microsoft Office suite of products (Excel, PowerPoint etc.). Strong relationship-building skills to collaborate effectively with colleagues and stakeholders in performing the role. Preferred Qualifications: Risk Adjustment experience desired. Proficiency in ETL tools, like Talend, SSIS, or Alteryx. Visio Experience. Client engagement experience. Demonstrated experience with project methodology (requirements, design, development, test and implementation). 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 Traveler community, or any other characteristic protected by law. Optum is a drug-free workplace. 2023 Optum Services (Ireland) Limited. All rights reserved. #RPO #J-18808-Ljbffr
Electronic Health Record SME – Letterkenny, Ireland 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. About the Role: At UnitedHealth Group and Optum, we want to make healthcare work better for everyone. This depends on hiring the best and brightest. With a thriving ecosystem of investment and innovation, our business in Ireland is constantly growing to support the healthcare needs of the future. Our teams are at the forefront of building and adapting the latest technologies to propel healthcare forward in a way that better serves everyone. With our hands at work across all aspects of health, we use the most advanced development tools, AI, data science and innovative approaches to make the healthcare system work better for everyone. As an Electronic Health Record SME, you will leverage your background and expertise in Epic or Cerner systems to act as a primary advisor between end-users, project team members and other information technology resources. Your guidance and insights will be instrumental in shaping transformation healthcare solutions. We are interested in applications from individuals with at least 1 active Epic or Cerner certification, with the enthusiasm and drive to continue to broaden their experience. Strong candidates will be able to demonstrate self-motivation and team collaboration. Continued development in Epic will be provided. Most importantly, our team will foster a culture of diversity and inclusion and drive innovation for our company and our clients. Working Arrangements Occasional after-work hours may be required to support emergency response and operational needs. Please note: There would be an initial training program on joining where there may be an expectation to work adjusted hours, depending on trainer location/availability. Following this, hours would be standard local hours with a need for some flexibility when working with US clients. 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 Letterkenny office and telecommuting from a home-based office in a hybrid work model. Primary responsibilities of the EHR Subject Matter Expert (Epic/Cerner): Lead medium to large complexity Epic software upgrade initiatives or enhancements to workflows including the design, build, and test phases. Provide Epic product function, design, build, and testing expertise and experience for assigned Epic module(s). Collaborate with end users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements. Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs. Provide technical and/or clinical consultation including application configuration. Review, analyze, and evaluate system needs to develop recommendations for customers. Serve as a mentor/subject matter expert to local and client-based team members. Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software. Facilitate communication with stakeholders from initial requirements to final implementation. 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 Experience: Deep experience of Epic or Cerner systems, with active / current Epic or Cerner certification in at least one area. Direct client healthcare domain knowledge such as clinical documentation workflow, patient portal, closing encounters, and patient flow. Ability to take on a new application or project area with proven success. Managing application specific work plans at the resource and task level. Degree education or equivalent experience. Preferred qualifications: We value a diverse range of skills and experiences. While any of the following qualifications are desirable, they are not mandatory for this role. Candidates from varied backgrounds are encouraged to apply. Experience mentoring individuals or teams within the system. Knowledge and experience using basic and intermediate project management tools and techniques. Ability to handle multiple client assignments and communicate with all stakeholders involved. Ability to communicate tactfully and work effectively with patients, physicians, vendors and system staff at all levels. Capable to lead and work well in a diverse, multi-disciplinary team. 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. All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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. #RPO #BBMEMEA #J-18808-Ljbffr
Finance Manager – Dublin / Hybrid As a Fortune Global top 10 business, we’re one of the world’s leading healthcare companies. We have been supporting global healthcare systems from Ireland for 25 years, building a dynamic and diverse team of more than 2,000 talented individuals. With a strong ecosystem of investment and innovation, our business in Ireland is constantly growing to support the healthcare needs of the future. We are excited to introduce a new service line within the Optum network, focused on biosimilar commercialisation. This initiative represents a significant step forward in our commitment to delivering high-quality healthcare and pharma solutions. This role offers the unique opportunity to be at the forefront of something new, where your contributions will directly shape the future direction and success of the business. You’ll enjoy the benefits of working within a well-established company while also experiencing the excitement, agility, and innovation typically found in a new venture. Optum is seeking a dynamic individual to join our team as a Finance Manager, where you will play a crucial role in supporting our financial operations, budgeting, forecasting, and capital allocation processes. You will be responsible for ensuring accurate financial reporting, providing strategic financial insights, and driving financial performance across the organization. This position is for a new service line within the Optum network, will be based in Ireland and will require close collaboration with various stakeholders, including senior management, regional finance teams, and other cross-functional departments. 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 and telecommuting from a home-based office in a hybrid work model. Primary Responsibilities: Perform financial modeling, data analysis, and business planning in support of Optum’s Nuvaila business financial forecast, budget, and long-range plan Maintain financial models, forecasts, and budgets to support strategic decision-making and ensure financial stability Monitor and analyze financial performance, identifying areas for improvement and implementing corrective actions, as necessary Support business development team on deals analyses for supply & demand agreements of drug products Work with parent organization to design and implement an order-to-cash process leveraging SAP system Prepare and present financial reports, including monthly, quarterly, and annual financial statements, projections and variance analytics to senior management and other stakeholders Collaborate with key business partners across the organization to support forecast assumptions, share insights and scenario sensitivities Support the annual budgeting process, providing guidance and recommendations to department heads and senior management Provide financial guidance and support to cross-functional teams, assisting in cost control initiatives and driving operational efficiency Required Qualifications: Degree in finance, accounting, and/or related field Proven previous professional experience in finance and/or accounting Strong knowledge of financial planning, budgeting, forecasting, and accounting principles Proficiency in financial modeling, data analysis, and financial reporting, with experience managing big data sets Strong skills in utilizing Microsoft Excel and PowerPoint Preferred Qualifications: Pharmaceutical and/or life science industry experience Proficiency in project management tools and software and Tableau or other data visualization software experience Experience with Hyperion Essbase / Smartview Excellent analytical and problem-solving skills Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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. #J-18808-Ljbffr
Optum is a global organisation 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. About the Role: In healthcare, evolution doesn’t just happen. It takes innovation, imagination, and a passion for solving problems in new and better ways. And innovation is taking place at a lightning-fast pace every day at Optum. As the fastest growing part of the UnitedHealth Group family of businesses, we’re expanding our team in Ireland and creating excellent opportunities for those who want greater purpose and more impact in their work. We’ll provide the investment, support, and resources to advance your career. You’ll provide the talent, ambition, and drive. As part of the DOCC Data Enablement team, this role will be responsible for working closely with the UHC Payment Integrity Business Transformation Team to support the successful development and execution of strategic programs associated with Data provisioning for the UHC PI Business. The individual in this role will have the opportunity to work closely with senior leaders, cross-functional teams, and stakeholders across the organization and will play a pivotal role in driving the development of data requirements and reporting capabilities, managing resources, and ensuring the timely and effective delivery of key strategic programs aligned with the provisioning of required data and reports for the business. This leadership role will develop and support the strategy for the life cycle of Data and Reporting in the business including Data Acquisition, Data Governance and Quality, Metrics Repository, and Central Intake coordination and organization of all data and reporting needs for UHC PI ensuring business alignment and transparency in the delivery of these data needs. This leadership role will support the effective communication of progress to leadership and stakeholders within both UHC PI and Optum. This role offers an exciting opportunity to contribute to the organization’s strategic growth initiatives while managing data and reporting availability to match the business requirement to operate successfully both today and into the future. 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: Work collaboratively in a leadership role with business partners, SMEs, and stakeholders to ensure a shared understanding of business requirements associated with Data & Reporting. Partner with cross-functional teams, refine requirements, and use it to shape core processes for Data Acquisition, Governance & Control, Metrics Repository, Central intake, management and delivery of desired outcomes. Manage the relationship with business partners to determine their data and reporting needs and ensure details are accurately captured in an inventory backlog system and subsequently delivered against. Align with Delivery partners to ensure appropriate allocation of work within defined parameters and ensure ongoing tracking of progress toward closure. Take a leadership role in communicating progress to Leadership and our partners, ensuring delivery partners maintain an accurate status on ongoing committed work schedules. Support the development of Mitigation and resolve risks and issues associated with capability delivery. Prepare and present information to leadership for next steps and decision making. The role will also support the evolution and management of the central Data Repository which is a critical component of the Data system within UHC PI, ensuring it is the primary single source of truth for data and aligns with partners and stakeholders. 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: BS/BA in business and/or healthcare related fields. Demonstrated relevant experience as Business Analyst or Project Manager. Experience with advanced use of data systems and the curation of data from different sources in a structured process. Demonstrated experience in gathering and evaluating requirements and translating business requirements. Intermediate level of experience with Microsoft Office products (Excel, Word, Visio). Highly collaborative individual with ability to influence others and build strong stakeholder relationships internally, as well as externally. Solid working knowledge of how to execute on project deliverables in a fast-paced environment. Ability to develop solid networks and ensure collaboration and consensus building. An ability to communicate complex and technical issues to diverse audiences. Self-directed and able to drive detailed solutions to completion with minimal oversight. Preferred Qualifications: Strong analytical and problem-solving skills. Experience managing business partners in a matrix organization. Experience working directly with senior level business stakeholders. Experience with US Healthcare. Experience with Financial Analysis and Budget Control. 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. All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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. 2024 Optum Services (Ireland) Limited. All rights reserved. #BBMEMEA #J-18808-Ljbffr
Associate Director, Client Engagement – Letterkenny/Dublin, Hybrid Optum is a global organisation 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. About the Role: 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. As an Associate Director, Client Engagement, you will be part of UnitedHealth Group's mission of helping people live healthier lives. You will grow and develop as you conduct and manage outcomes of various studies. You will be challenged to analyze, review, and forecast data for operational and business planning. As part of this elite team, you will be empowered to impact the health care system through the analysis and interpretation of data, and presenting recommendations for business solutions. Primary Responsibilities for an Associate Director, Client Engagement: Mange client Risk Adjustment data submissions to the Centers for Medicare and Medicaid Services (CMS) from receipt of data through to CMS response files. End to End accountability for Risk Adjustment Submissions to CMS. Ensure staff are delighting clients and managing all data throughput to ensure a 24-48 hour turn around time from the time the data is received to loaded and a 3-business day turn around to get all data to CMS. Responsibility for fostering an environment that encourages staff to do their best life’s work as well as ensuring we delight all clients. Continuous communication and metrics presentation and reporting to all stakeholders and leadership. Continue to work on incorporating the latest innovation to ensure efficiency. Ensure we have no data slippage or gaps in processes. Every place data transition has a control in place. Analyze, review, forecast, and trend complex data. Present analysis and interpretation for operational and business review and planning. Support short and long term operational/strategic business activities through analysis. Develop recommended business solutions through research and analysis of data and business process and implement when appropriate. Positions in this function conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. Support short and long term operational/strategic business activities - by developing, enhancing and maintaining operational information and models. Develop and implement effective/strategic business solutions through research and analysis of data and business processes. Generally work is self-directed and not prescribed. Works with less structured, more complex issues. Serves as a resource to others. 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 for an Associate Director, Client Engagement: Previous experience of working in a client facing role in a high volume data industry or organisation. Bachelor’s degree in Business, Finance, Health Administration, related field or commensurate experience. Strong experience in business/finance analysis. Understanding of SQL required. Experience organizing people and processes to complete projects. Strong leadership experience with people and processes. Experience leading large projects with positive outcomes. Experience gathering requirements from the client/business and documenting. Experience with process improvement, workflow, benchmarking and/or evaluation of business processes required. Intermediate level of proficiency with PC based software programs and automated database management systems required (Excel, Access, PowerPoint). Ability to communicate analysis including trends and opportunities to clients and the business in writing and verbally. Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data. Working knowledge of relational databases, database structures. Ability to perform well under pressure and multitask with little to no direction. Proven previous direct client management experience. Unix systems and commands familiarity. Preferred Qualifications: EDI 837 Files and Data formats and/or medical claims experience. Healthcare Claim processing or health care related data required. Experience in an Agile work environment. Python programming. 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. All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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: UnitedHealth Group is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. 2024 UnitedHealth Group. All rights reserved. #RPO #BBMEMEA #J-18808-Ljbffr
Optum is a global organisation 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. About the Role: In healthcare, evolution doesn’t just happen. It takes innovation, imagination, and a passion for solving problems in new and better ways. And innovation is taking place at a lightning-fast pace every day at Optum. As the fastest growing part of the UnitedHealth Group family of businesses, we’re expanding our team in Ireland and creating excellent opportunities for those who want greater purpose and more impact in their work. We’ll provide the investment, support, and resources to advance your career. You’ll provide the talent, ambition, and drive. As leader within the Pricing and Underwriting Operations team, you’ll be a member of a small high-performing team that is re-imagining the way we do business. You’ll be responsible for driving end to end requirements and development of our Pricing and Underwriting Logistics and Strategy Engine (PULSE) and optimizing the supporting business processes. The role has direct interaction with onshore and offshore technology partners, business partners and business area Subject Matter Experts to develop specific requirements and best solutions for accurate execution, automation and implementation. Our chosen candidate must demonstrate advanced knowledge of business processes, solid technical competence, attention to detail, exhibit solid oral and written communication skills as well as the ability to consistently meet deadlines. 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 offices and telecommuting from a home-based office in a hybrid work model. Primary Responsibilities: Product Owner of OptumRx’s Pricing and Underwriting End to End processes and tools Manage the continuous improvement of processes and tools - drive culture of innovation and collaboration, with a specific focus of improving the Underwriter experience, improving QA/QC, instilling appropriate governance, enhancing analytics capabilities, and streamlining data flow Leverage knowledge to propose solutions to business problems in a dynamic work environment Lead process design and project implementation teams in process improvement activities Develop appropriate measurement approaches/metrics to evaluate the effectiveness of recommended solutions/process changes Diagnose process improvement opportunities and develop solutions using principles of process excellence and related tools Communicate potential impacts and risks associated with implementing proposed solutions to business partners and relevant stakeholders Collaborate with stakeholders (e.g., senior leadership; end users) to gain support and buy-in for proposed business process solutions Develop relevant policies, procedures, and/or work tools to support new or updated business processes Report to relevant stakeholders (e.g. business sponsors; constituents) on benefits, challenges, and progress of solution implementation (e.g. risks and opportunities) Provide ongoing support to ensure proper implementation and adoption of the solution (e.g. post-deployment support, definition/monitoring of control plans) Maintain a robust roadmap for future iterations/innovations Change Management leader: As process improvements are made, ensure input and alignment across all teams through clear communication Utilize stakeholder (e.g., senior leadership; end user) feedback and/or process performance information to identify potential continuous improvement opportunities Ensure that project requirements are clearly and comprehensively documented, understood and support traceability Create professional and informative presentation material for leadership updates Serve as a dependable and reliable resource to others You’ll 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 provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree or equivalent work experience Proven experience in operations, healthcare pricing, network management, healthcare economics or related discipline - preferably at large, complex, fast-paced organizations Experience on a process redesign team Experience managing scope and resources, and meeting timelines and budget targets Experience interacting and communicating effectively with business stakeholders at various levels of the organization Experience with best practices/approaches related to business analysis, quality, and productivity Experience applying critical thinking to very detailed business scenarios Advanced proficiency with MS Excel, Word, and PowerPoint Successful track record Leading Change and Transitions, with management of highly complex, multi-dimensional projects Demonstrated achievement of key operational metrics around efficiency, reporting and analytical capabilities, and management reporting Ability to work with developers and translate technical details to ensure business and IT are in sync with level of understanding Experience with Agile Project Methodology Preferred Qualifications: PBM or healthcare experience Smartsheet, PowerBI, Tableau and/or Power Apps experience Programming competence (preference for Python, SQL or Java) Knowledge of technology industry trends and tools CLL Practices: Systems Thinking Leading Change and Transitions Managing Team Structures, Operations and Processes Facilitating Execution Plans Resilience & Resourcefulness 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. All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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. 2024 Optum Services (Ireland) Limited. All rights reserved. #BBMEMEA #J-18808-Ljbffr
Optum is a global organisation 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. About the Role: In healthcare, evolution doesn’t just happen. It takes innovation, imagination, and a passion for solving problems in new and better ways. And innovation is taking place at a lightning-fast pace every day at Optum. As the fastest growing part of the UnitedHealth Group family of businesses, we’re expanding our team in Ireland and creating excellent opportunities for those who want greater purpose and more impact in their work. We’ll provide the investment, support, and resources to advance your career. You’ll provide the talent, ambition, and drive. We are looking for a highly analytical and creative Principal Quantitative Data Analyst with a strong statistical background to support our data analytics initiatives. The ideal candidate will be a critical thinker, driven, and capable of working effectively within a team. This role requires a proactive individual who can turn complex data into actionable insights, driving strategic decisions and enhancing our pharmacy services. Experience in building or creating surveillance or diagnostic tools for user consumption will be advantageous. Why Join Us: Impact: Make a meaningful impact on patient care and pharmacy operations through data-driven insights. Growth: Opportunities for professional growth and development in a supportive and innovative environment. Culture: Join a collaborative and passionate team dedicated to improving healthcare outcomes. 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 and telecommuting from a home-based office in a hybrid work model. Primary Responsibilities: Data Analysis and Reporting: Utilize visualization tools to create, maintain, and optimize interactive dashboards and reports that provide actionable insights into pharmacy operations, patient outcomes, and medication usage. Analyze complex data sets and algorithms to provide actionable insights. Data Management: Collect, clean, and manage large datasets from various sources, ensuring data integrity and accuracy. Statistical Analysis: Apply statistical methods to analyze pharmacy data, identify trends, and generate predictive models to support decision-making processes. Collaboration: Work closely with cross-functional teams, including pharmacists, IT, and management, to understand data needs and deliver tailored analytical solutions. Collaborate effectively with multiple global advanced analytics teams, leveraging IP from each team for solution development. Performance Monitoring: Track and evaluate key performance indicators (KPIs) related to pharmacy operations and patient care, providing regular updates and recommendations for improvement. Innovation: Continuously seek opportunities to enhance data analytics processes and tools, staying up-to-date with the latest industry trends and technologies. Develop measures based on integrating multiple datasets (both internal and publicly available data). Iterative Development: Comfort in working in a highly iterative development cycle. Business Requirements: Gather and document business requirements to ensure analytical solutions meet stakeholder needs. 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: Educational Background: Bachelor’s or Master’s degree in Statistics, Data Science, Pharmacy, or a related field. Proven significant experience in data analysis, with a focus on pharmacy data as an advantage. Technical Skills: High Proficiency in Power BI development. Analytical Skills: Strong analytical and problem-solving skills, with the ability to interpret complex data and generate actionable insights. Creativity: Ability to think creatively and develop innovative solutions to complex problems. Communication: Excellent verbal and written communication skills, with the ability to present data findings clearly and concisely to non-technical stakeholders. Drive: Self-motivated and driven, with a strong commitment to continuous learning and professional development. Preferred Qualifications: Geospatial Analytics: Familiarity or interest in learning geospatial analytics and tools is a plus. Predictive Analytics: Ability to develop and test the performance of predictive analytics machine learning algorithms is a plus. AI Capabilities: Interest in eventually incorporating AI capabilities into solutions is a plus. 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. All telecommuters will be required to adhere to the UnitedHealth Group’s Telecommuter Policy. 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. 2024 Optum Services (Ireland) Limited. All rights reserved. #BBMEMEA #J-18808-Ljbffr
