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UnitedHealth Group

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. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Director, Revenue Operations

Revenue OperationsRevenue OperationsFull TimeRemoteTeam 10,001

Location

United States

Posted

12 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Director of Revenue Operations is a senior leader accountable for advancing Optum Health’s strategic priorities through revenue operations performance in support of the Care Delivery Organization (CDO). This role is accountable for achieving and sustaining performance across Key Revenue Operations performance indicators (KPIs) for the assigned regions and business lanes.

  • Provide strategic and operational leadership for Revenue Operations functions across the region assigned, aligning performance to enterprise objectives and Care Delivery Organization priorities
  • Serve as a strategic partner to clinical operations leadership, communicate revenue cycle performance, risks, and opportunities, lead action planning discussions, and co-own execution of improvement initiatives
  • Collaborate with Clinical Operations, Finance, Accounting, Contracting, IT, Analytics, Compliance, and Enterprise teams to deliver upon financial commitments
  • Collaborate closely with other Revenue operations directors across regions to align strategies, share best practices, and ensure consistent execution of enterprise Revenue Operations initiatives
  • Leads disciplined performance management through proactive monitoring, variance analysis and development of time-bound action plans to achieve KPI’s including MNCR, over 90 aging, denial management, cash collections and bad debt reduction targets
  • Drive operational excellence through workflow optimization, standardization, automation and AI solutions across full-cycle revenue processes
  • Monitor payer performance trends, escalate systemic issues and revenue cycle workflows align with contractual requirements to maximize reimbursement
  • Oversee vendor-managed revenue operations functions to ensure performance accountability and quality standards
  • Develop and sustain high-performing leaders and teams by fostering engagement, inclusion, accountability
  • Champion a culture of enterprise thinking, collaboration, and continuous improvement, reinforcing shared ownership of outcomes across regions and functions
  • Ensure Revenue Operations comply with all applicable federal and state regulations, payer requirements, and internal policies, proactively identifying risk, addressing compliance gaps and maintaining solid controls and audit readiness

Qualifications

  • 8+ years of progressive revenue cycle leadership experience, preferably within large, multi-market healthcare organizations and physician groups, value-based care models, or integrated care delivery organizations
  • 5+ years of experience with people management with demonstrated skills in leader and teammate engagement, retention, coaching, succession planning, and performance development
  • 3+ years of experience of Epic Revenue cycle experience
  • Deep knowledge of healthcare billing, coding, regulatory compliance and commercial payer guidelines and reimbursement methodologies
  • Proficiency in Microsoft Office Suite and use of analytics tools

Requirements

  • Experience managing outsourced or hybrid revenue cycle vendor models and remote teams supporting revenue cycle functions
  • Solid understanding of revenue cycle management software, physician billing systems, and reporting tools
  • Understands revenue recognition, how it impacts net patient revenue and our downstream accounting systems
  • Proven excellent verbal and written communication skills. Ability to effectively communicate with team members, management, and external stakeholders
  • Demonstrated leadership skills with a track record of successful training, mentoring, and developing teams

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution (all benefits are subject to eligibility requirements)

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Job Requirements

  • 8+ years of progressive revenue cycle leadership experience, preferably within large, multi-market healthcare organizations and physician groups, value-based care models, or integrated care delivery organizations
  • 5+ years of experience with people management with demonstrated skills in leader and teammate engagement, retention, coaching, succession planning, and performance development
  • 3+ years of experience of Epic Revenue cycle experience
  • Deep knowledge of healthcare billing, coding, regulatory compliance and commercial payer guidelines and reimbursement methodologies
  • Proficiency in Microsoft Office Suite and use of analytics tools
  • Experience managing outsourced or hybrid revenue cycle vendor models and remote teams supporting revenue cycle functions
  • Solid understanding of revenue cycle management software, physician billing systems, and reporting tools
  • Understands revenue recognition, how it impacts net patient revenue and our downstream accounting systems
  • Proven excellent verbal and written communication skills. Ability to effectively communicate with team members, management, and external stakeholders
  • Demonstrated leadership skills with a track record of successful training, mentoring, and developing teams

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution (all benefits are subject to eligibility requirements)
  • Application Deadline
  • This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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