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Reporting to the OptumCare West SVP of Medical and Physician Support Services, the Assoc. Director of Revenue Operations Strategy is responsible for driving workflow optimization initiatives across West Revenue Operations that will impact RCM metrics towards goal. This can consist of managing integration of new technology, standardization of workflows, project management, coordinating and standardization of data. This role would play a key role in assisting centralizing all Rev Op functions into a West CBO. This role would also participate in providing input in strategic planning with the Revenue Cycle Leadership team. Translates the Optum West Revenue Operations vision into meaningful and effective responses and results. Manages multiple functions and serves as a resource with oversight in day-to-day activities.
If you are located in Las Vegas, NV, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges. If you are located outside of Las Vegas, NV, you will enjoy the flexibility to work remotely* following a Pacific Time schedule.
Primary Responsibilities:
- Work closely with all RCM leadership across the West in developing strategies and solutions to drive metrics towards goal
- Project manage major initiatives that involve optimization from a technology standpoint, solutions, and standardization of processes across all West RCM functions
- Serve as the lead in Merger and Acquisition diligence and integration activities related to Revenue Operations
- Develop and maintain playbook for new services onboarding, RCM expansion and M&A activity
- Creates and updates status reports, templates, and deliverables tied to specific project
- Development and maintenance of project plans
- Work closely with other departments (Operations, IT, Finance, Healthplan) to streamline procedures that will help ensure correct billing to patients and payers in a timely manner, thereby expediting receivables
- Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters
- Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers
- Regularly provides upper management with revenue cycle status including reports, metrics, and presentation
- Establish a regularly scheduled revenue cycle meeting to discuss strategies and ensure everyone is educated on the direction of the department
- Work with local leadership in expansion of service offerings as needed
- Assist operations in standardizing processes related to RCM improvement and reduction of denials
- Perform cost benefit analysis as warranted for MSO growth
- Acts as a facilitator and generator of new ideas and a mediator on difficult issues
- Provides technical knowledge appropriate to functions being managed with additional knowledge in other functions including professional management
- Participates in the identification of opportunities to improve processes and to act as a catalyst for realizing these improvements
- Responsible for development and performance management within areas of responsibility, translating the departmental vision into meaningful and effective results
- Serves as a liaison between sections and other departments and agencies inside and outside Optum Health
- Creates customer service driven sections and fosters collaboration with physician and administrative colleagues
- Builds teamwork within the Enterprise Revenue Cycle. Participates in retention planning initiatives
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:
- 5+ years of experience providing healthcare operational guidance to remote teams
- Billing and revenue cycle performance experience
- Process improvement experience
- Project management experience
- Professional billing and collections experience
- Willingness and ability to travel up to 25%
Preferred Qualifications:
- Bachelor’s degree
- 5+ years of experience with EPIC, ECW or NextGen or Allscripts
- Ability to effectively communicate strategies and initiatives to internal management groups and business partners
- Contract management experience
- CDM/Fee schedule management experience
- Provider credentialing and enrollment experience
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California/Colorado/Connecticut/Nevada/New Jersey/New York/Rhode Island/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.
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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.