Segment Lead

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.

You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength, and attention to detail. In return we offer the latest tools and most intensive training program in the industry.

As a Manager Business Process, you'll have the opportunity to identify and manage a portfolio of projects to support Coordination of Benefit initiatives including the delivery of processes and improvement initiatives. You will partner with stakeholders to understand and document business requirements and utilizing your sharp analytical skills to fulfill the needs of the business and/or clients, you will have an impact on healing the health care system. This is a challenging role that creates an opportunity to grow and develop.

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:

• This position will be responsible for leading and driving initiatives for Optum Coordination of Benefits (COB), collaborating with partner teams to increase Optum COB Medical cost savings and deliver process improvement and efficiencies
• The scope of these activities is across all main lines of business (E&I, M&R and C&S) working with other value streams as part of an overall business alignment and improvement programme
• Evaluate gaps in business processes through process/data analysis, identify opportunities for automation, payment policies, quality, and throughput improvements to increase the opportunity or medical cost savings
• Conduct all needed research, problem solving and requirements-gathering activities with business and technical stakeholders to identify, collect and document specific business requirements (i.e., business, functional and non-functional) for analytics or automation projects
• Manage cross-segment projects and initiatives that require problem solving, relationship building, influencing, and analyzing
• Develop and/or contribute to training programs to support implementation of the solution
• Establish and perform testing scenarios and provide direction to developers to ensure requirements are adhered to
• Collaborate with business matrix partners to deliver value to our clients by ensuring key operational, financial and growth targets are achieved

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:

• Undergraduate degree or equivalent work experience in healthcare or financial services
• Project Management certification (e.g., PMP, PMI, Agile, Six Sigma) or equivalent
• Proven extensive experience leading projects or driving initiatives through to completion
• Demonstrated solid experience defining business requirements, problem solving, including root cause identification, and recommending and implementing solutions
• Demonstrated experience in analyzing and mapping business processes, including the ability to translate business requirements and business acumen to a technical audience
• Demonstrated intermediate proficiency in Microsoft Excel, PowerPoint, and SQL
• Proven experience analyzing large operational and/or financial datasets to identify and define actionable insights

Preferred Qualifications:

• Demonstrated knowledge of claims processes, (i.e. processing, reviewing, auditing, billing etc.)
• Proven experience working in operations areas such as Claims, Coordination of Benefits (COB), Data Mining, or Appeals and Grievances
• Proven experience leading and managing project implementation supporting global operations teams and associated considerations (system and business access, approvals, legal and data protection regulations and restrictions etc.), as well as training and process documentation

Soft Skills:

• Demonstrated solid presentation and professional communication skills (verbal and written), including stakeholder management
• Demonstrated ability to achieve results through others and support the development of others
• Demonstrated ability to prioritize multiple tasks, projects, and deadlines
• Demonstrated ability to work independently and collaboratively within a team environment to deliver quality results

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 Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2026 Optum Services (Ireland) Limited. All rights reserved.

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