Process Governance Lead

Job Description - Process Governance 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.

This role is responsible for defining and embedding process governance across Risk Adjustment. The Process Governance Lead translates policy into operational frameworks, standards, and controls, ensuring consistent execution, measurable outcomes, and reduced operational risk across the function. The role owns governance implementation outcomes, proactively identifying risk and driving remediation to strengthen audit readiness.

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

• Lead the design and execution of process governance initiatives across Risk Adjustment and adjacent operational functions, ensuring consistent standards and controls across interconnected processes
• Implement and embed clear links between policies, SOPs, and documentation standards
• Review work produced by business teams and SMEs, providing clear, practical recommendations to meet governance standards
• Identify business critical policies and processes and define outcome based KPIs and control frameworks, holding accountability for governance effectiveness
• Define and own the non conformance management framework, including intake, triage, root cause analysis, remediation, and closure
• Act as a trusted advisor to senior leadership on operational risk, providing insight from non conformance trends, audit findings, and KPI performance to inform risk based decisions
• Coordinate remediation activity arising from audits, gap assessments, KPI trends, and non conformance analysis
• Oversee the creation, update, and governance of SOPs and supporting documentation in line with agreed standards
• Act as the key link between the process governance function and operational teams to drive adoption and consistent execution

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

• Bachelor's degree in a related field such as Healthcare Compliance, Auditing, Risk Management, or Technology, or equivalent professional experience
• Proven extensive experience in quality, compliance, governance, risk, audit, or regulated operational functions within regulated industries such as healthcare, life sciences, or financial services
• Proven experience conducting or supporting compliance, financial, and/or operational audits
• Demonstrated solid understanding of policy governance, document management, SOP lifecycle management, and documentation control frameworks
• Proven experience supporting or overseeing non conformance management, root cause analysis, and corrective and preventive actions (CAPA)
• Proven experience operating in multinational and cross jurisdictional environments
• Demonstrated ability to review the work of others, apply professional judgment, and provide informed recommendations

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.

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.

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.