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.

The Director, Revenue Cycle Business Process, is directly responsible for OptumCare CDO engagement within the assigned Service Area. The Director will work to leverage performance in OptumCare functional areas, providing feedback and influence to continually improve CDO revenue cycle performance in line with National Revenue Cycle strategic initiatives and Key Performance Indicators. The Director, Revenue Cycle is a critical member of the OptumCare National Revenue Cycle Team, and functions as a critical member of the revenue cycle leadership teams/Central Billing Office (CBO) in the assigned Service Area. The Director, Revenue Cycle utilizes historic and current data to monitor and track performance and trends and escalates issues in order to drive revenue cycle performance to the MGMA 75th percentile, lower costs and increase revenue.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 25% travel to CT annually

Primary Responsibilities:

• Proactively monitors, trends, and facilitates the utilization of continuous process improvement methods to achieve national revenue cycle goals
• Spearhead, with CDO, Revenue Cycle CBO and other vendors as appropriate, educational opportunities/workflow changes/technology to improve metrics, lower costs and increase revenue
• Proactively collaborates with CBO and other vendors and CDO revenue cycle leadership to investigate negative trends or variances; leverages local relationships to resolve performance issues
• Provides complete, accurate and timely reporting of revenue cycle data metrics to CDO leadership; supports regularly scheduled revenue cycle meetings, providing appropriate data and revenue cycle expertise/best practices. proactively provides additional analysis, as needed, to explain significant shifts or areas of concern
• Proactively escalates risks and issues to Optum National Revenue Cycle Team, CBO and CDO Leadership, resulting in timely and effective resolution
• Leverages relationships with appropriate stakeholders to drive repeatable process improvement across all CDO revenue cycle departments/vendors
• Maintains knowledge of the processes related to financials in the revenue cycle model; supports activities and initiatives that result in improved efficiency and financial performance
  

You’ll 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 provide development for other roles you may be interested in.

Required Qualifications:

• Bachelor’s Degree or 10+ years of equivalent experience
• 10+ years physician/professional revenue cycle experience (registration, scheduling, coding, and billing)
• 10+ years proven Revenue Cycle leadership with the ability to build relationships/collaborate and influence all levels
• Experience with the major Patient Registration and Patient Financial Services technologies
• Solid understanding of CPT, HCPCS and ICD-10
• Solid understanding of billing/collections and workflow/process redesign and industry best practices
• Proficiency with Microsoft Excel, Word, Project, and PowerPoint
• Proven ability to influence/drive change without formal authority
• Position is in the office setting, however, must be willing and able to travel, including overnight, as needed up to 25% of the time
  

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $101,200 to $184,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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: 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.