Quality Engineering Director, Claims and Billing - OptumRx - Schaumburg, IL or Eden Prairie, MN

  • InternetJobs.com
  • Schaumburg, IL, USA
  • Sep 04, 2017

Job Description

OptumRx Quality Assurance supports over 1 billion prescriptions per year for our commercial, Medicare and Medicaid members. We ensure the software created to support the dynamic pharmacy business meets or exceeds our customer's expectations for quality. Join our team to have a positive impact on the lives of our members. As Quality Engineering Director, Claims and Billing, you will lead a matrixed team that efficiently and effectively tests $21MM of software development which supports a 70% increase in claims adjudicated over the past 2 years. The technology investments encompass Growth programs, Critical Customer Support, Regulatory and Compliance projects. These programs directly support our clients CMS STAR rating and their compliance with annual CMS regulation changes: STARs Medicare Plan finder, Direct Member Reimbursement, Opioid Limits, and Call Letters. This is a transformational leadership opportunity to attack quality improvement from the front end (multi-disciplinary Defect Boards) and back end (Testing Services), ultimately delivering a reduced cost of quality. In this role you will:
  • Build a high performing team of software quality assurance associates, managers, and vendor partners
  • Increase speed to market with more frequent releases supported by quality engineering
  • Advise partners on how to improve their overall quality in technology delivery, driving continuous improvement of the Cost of Quality
  • Partner with OptumRx Technology staff on their information technology strategy, with the software quality assurance people, process, and technology in mind

Required Experience:
  • 15+ years of progressively larger experience in an Analyst, Developer, Support, Six Sigma or Quality Assurance role working on complex software programs
  • 2+ years of experience working as a Director overseeing IT QA managers and team
  • Experience creating and implementing plans to achieve strategic objectives, including shifting from quality assurance to quality engineering, A/B testing, agile delivery, DevOps delivery, integrated test strategies, integrated test data, and environment coordination
  • Experience obtaining results in a globally-matrixed environment
  • Experience with a variety of technology delivery models: onshore, offshore, insourced, outsourced, and hybrid
  • Demonstrated understanding of corporate financial disciplines - budgeting, reporting and P&L
Preferred Qualifications:
  • Experience in the health insurance industry or other highly regulated industry
  • Process improvement methodologies, such as Lean Six Sigma
  • Superior interpersonal skills, able to gain support for initiatives through influence and use of business rationale
  • Experience mentoring junior leaders
  • Undergraduate degree in applicable area of expertise
  • Willing to manage multi - site, virtual and matrixed teams
  • Experience understanding complex technical issues and explaining them to key stakeholders

Technology Careers with Optum. Information and technology have amazing power to transform the health care industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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UnitedHealth Group