Senior Issue Resolution Analyst

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.

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 a Senior Issue Resolution Analyst, you will be responsible for handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's fast paced & challenging. It's a job that calls on you to be thoughtful, resourceful, team-driven, and customer-focused. To put it mildly, there is never a dull moment.

Schedule: Full-time position with standard working hours of Monday to Friday from 8:00am to 17:00pm Irish Standard Time. Occasional after-work hours may be required to support operational needs.

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:

• Drive improvements through trend analysis and open inventory reduction through leading and collaborating with other analysts and internal business partners aligned to the MCRE resulting in dispute prevention
• Schedules and facilitates regular cadence of meetings with analysts to review open inventory, identify trends, share knowledge and information, and provide progress updates on remediation efforts
• Lead discussions and identify opportunities to bulk process open inventory including, macros, system updates, and process improvements
• Analyze open and closed inventory using Power BI reporting, to identify trends, develop and recommend solutions to improve member, provider, and delegate experience, and root cause issues working through remediation and prevention
• Maintaining up to date and accurate documentation of efforts toward remediation
• Collaborate, create and share performance metrics, issue types, and remediation efforts, with delegated partners in either a monthly Operational Engagement meeting, partnership meeting or by attending Provider Relations monthly meeting
• Weekly or biweekly meetings with external risk entity operational leaders to streamline initiatives and improve member and provider outcomes
• Assist with the onboarding and training of new hires and peers to enhance knowledge, promote quality, and ensure understanding of expectations
• Effectively communicate with internal and external business partners
• Actively participate in work groups for migration, projects and new business to align process infrastructure as needed
• Coordinate processing of formal complaints (Complaints to Medicare, Department of Insurance, etc.) through to completion in a timely manner within required due dates
• Complete rejournaling requests for aligned risk entities in partnership with Issue Resolution Analysts
• Timely partnership with internal business partners and aligned risk entity to take the member and provider out of the middle when contract stipulations indicate an unable to capitation deduct

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:

• Leaving Certificate (or higher) OR equivalent work experience
• Proven experience of working in the healthcare industry
• Proven experience with establishing successful internal or external partnerships where you are coaching, mentoring and/or supporting to drive improved performance
• Proven experience with issue resolution related to member, provider or internal / external business partners
• Proven processing or customer service experience, client support, or call center experience in current role or prior roles
• Demonstrated knowledge of COSMOS, CSP Facets, or USP
• Proven ability to create and developing Microsoft PowerPoint presentations

Preferred Qualifications:

• Proven experience with Microsoft Excel utilizing data sets to create pivots tables, Paretos and control charts
• Proven experience in claims adjudication
• Proven appeals / grievance OR claims rework experience
• Proven experience with provider practices, billings and revenue cycles
• Demonstrated knowledge of Value Based Contracting OR Capitated Delegated Division of Responsibility business models
• Proven experience with one of the following: IFP, M&R, E&I OR C&S line of business
• Proven experience with Microsoft CoPilot

*All telecommuters will be required to adhere to the UnitedHealth Group's Telecommuter Policy.

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.

Required Qualifications:

• Leaving Certificate (or higher) OR equivalent work experience
• Proven experience of working in the healthcare industry
• Proven experience with establishing successful internal or external partnerships where you are coaching, mentoring and/or supporting to drive improved performance
• Proven experience with issue resolution related to member, provider or internal / external business partners
• Proven processing or customer service experience, client support, or call center experience in current role or prior roles
• Demonstrated knowledge of COSMOS, CSP Facets, or USP
• Proven ability to create and develop Microsoft PowerPoint presentations

Preferred Qualifications:

• Proven experience with Microsoft Excel utilizing data sets to create pivots tables, Paretos and control charts
• Proven experience in claims adjudication
• Proven appeals / grievance OR claims rework experience
• Proven experience with provider practices, billings and revenue cycles
• Demonstrated knowledge of Value Based Contracting OR Capitated Delegated Division of Responsibility business models
• Proven experience with one of the following: IFP, M&R, E&I OR C&S line of business
• Proven experience with Microsoft CoPilot

*All telecommuters will be required to adhere to the UnitedHealth Group's Telecommuter Policy.

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.