
Claims Business Process Tech
Description
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Business Manager plays a critical dual focused role, responsible for day to day operational management while also providing strategic support for capacity planning, financial oversight, and business performance. This role partners closely with operational leaders to ensure work is executed efficiently today while enabling informed planning and decision making for future demand, staffing, and financial outcomes.
This position serves as a key connector between operations, finance, and leadership, ensuring operational realities are reflected in forecasts, plans, and investment decisions, and that leadership priorities are translated into executable actions.
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:
Operational Management (Primary Focus)
- Provide oversight and coordination of core operational activities to ensure service levels, quality, and compliance expectations are met
- Monitor operational performance, identify risks or bottlenecks, and partner with leaders to drive timely resolution
- Support execution of operational priorities, initiatives, and process improvements across teams
- Establish and maintain clear operational routines, reporting, and governance to drive accountability and transparency
- Serve as a trusted operational partner to leadership, offering insight into workload, capacity constraints, and operational impacts of decisions
Capacity Planning & Financial Support (Dual Focus)
- Support short and long range capacity planning, ensuring staffing and workload plans align with forecasted demand
- Partner with finance and operations leaders to support budget planning, expense tracking, and financial performance monitoring
- Analyze trends related to volume, productivity, and cost to inform leadership decisions
- Translate operational data into clear insights for leadership, highlighting tradeoffs, risks, and opportunities
- Support scenario modeling and planning discussions related to growth, change initiatives, or shifting priorities
Leadership & Cross Functional Partnership
- Act as a liaison between operations, finance, and business partners to ensure alignment and shared understanding
- Prepare and contribute to leadership reviews, business updates, and planning forums
- Provide continuity and stability during periods of change by proactively identifying operational, capacity, and financial impacts
- Influence outcomes through data, analysis, and solid partnership rather than direct authority
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:
- Proven experience in A&G
- Proven experience supporting Medicare operations, including Part C, DSNP, and/or PAD programs
- Demonstrated understanding of inventory based operational models and platform driven workflows
- Demonstrated ability to analyze operational volume, recovery outcomes, productivity, and financial impacts to inform planning and leadership decisions
- Proven experience supporting capacity planning, workforce planning, or financial forecasting in an operational environment
- Proven experience in business operations, operational planning, or business management roles
- Demonstrated experience balancing operational execution with planning, analysis, and financial support
- Demonstrated solid analytical skills with the ability to interpret operational and financial data
- Proven ability to partner with leaders and influence without direct authority
- Demonstrated solid communication skills, with the ability to translate complex information into clear, actionable insights
Preferred Qualifications:
- Proven experience preparing materials for and participating in Key Management Indicator (KMI) or equivalent operational and performance review forums
- Proven experience with operational metrics, budgeting processes, and performance reporting
- Proven experience supporting or leading operations at the Supervisor or Manager level, including oversight of complex work types, multi-location, and cross team dependencies
- Proven experience supporting operational implementations, platform changes, or process rollouts while maintaining business continuity
- Proven background in operational roles that combine execution, analysis, and stakeholder engagement
- Demonstrated advanced proficiency in Excel and data analysis tools
Key Success Factors:
- Proven ability to operate effectively in a dual focused role, balancing immediate operational needs with longer term planning and financial considerations
- Proven ability to be comfortable navigating ambiguity and supporting leaders through change
- Demonstrated solid judgment, attention to detail, and bias toward action
- Demonstrated ability to connect operational realities to financial and capacity implications
- Proven ability to operate with minimal direction on complex operational and planning matters
- Proven ability to make decisions and recommendations influence multiple teams or business partners
- Demonstrated ability to balance short term operational demands with longer term business and financial considerations
- Recognized as a trusted operational and planning partner by leadership
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.
