Associate Director, Medical Record Optimization

UnitedHealth Group View all jobs

  • Dublin
  • Permanent
  • Full-time
  • 6 days ago
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:This role supports the Medical Record Optimization function within the Optum Health Ireland, Value Based Care (VBC) office, reporting to the Risk Strategist. The Associate Director will play a key role in transforming how Optum Health Ireland supports U.S. VBC programs through improved medical record workflow, technology enablement, and data-driven operational insights. Working cross-functionally with analytics, compliance and clinical teams, this role drives process standardization, supports technology pilots, ensures audit readiness, and enhances the reuse and quality of retrieved medical records to strengthen overall program performanceCareers 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.What you will do:Operational Support & Execution
  • Support the transformation of retrospective chart review programs into standardized, tech-enabled workflows following all regulatory requirements
  • Manage key components of the end to end Retrospective Chart Review Program lifecycle, including chart targeting, retrieval tracking, workflow documentation, reporting, and reconciliation of CMS return data
  • Contribute to the development and ongoing maintenance of platforms that support multi program utilization of retrieved medical records
  • Build trusted/strategic relationships with partners and serve as the primary point of contact for overall and day-to-day service delivery
  • Performs additional duties and responsibilities as assigned to support departmental operations and organizational objectives
Compliance & Quality Assurance
  • Support compliance monitoring activities to ensure adherence to HIPAA, CMS, and other regulatory standards
  • Works collaboratively with the Quality Assurance (QA) program to create a process to produce organizational and industry quality coding standards
  • Collaborate with QA partners to ensure data accuracy and completeness
Data Analysis & Reporting
  • Partner with analytics teams to refine chart targeting logic and retrieval prioritization
  • Analyze operational metrics such as retrieval rate, cost-per-record, reuse rate, and QA pass rate
  • Contribute to the development and maintenance of comprehensive dashboards and reports that support performance tracking and continuous improvement
Technology Enablement
  • Support initiatives involving automation, OCR/NLP, and AI to improve record processing and insights
  • Participate in pilots and proof-of-concepts to test new technologies under guidance from senior team members
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.What you will bring:
  • Bachelor's degree in health informatics, data science, business, or a related field
  • Demonstrated solid analytical skills and proficiency in Excel and PowerPoint
  • Demonstrated ability to work collaboratively across technical and clinical teams
  • Proven solid program management background, and ability to work with vendor and data analytics team
Other useful skills and experience include:
  • Certifications/Methodology: Lean, Six Sigma, or Project Management
  • Healthcare Domain: U.S. healthcare operations, Risk Adjustment or Quality programs, clinical data management, EHR
  • Technical Skills: OCR/NLP, AI document processing FHIR, C-CDA
  • Analytics: Tableau, Power BI
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.#BBMEMEA

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