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 Sr. Manager, Site Engagement is part of the Optum Health National Office of Revenue Cycle Management and will support our care delivery organizations (CDO) in optimizing their revenue cycle performance. This role will bring revenue cycle expertise and performance improvement strategies to the markets in collaboration with their partners. 

This individual will be responsible for driving workflow and metric optimization initiatives across the assigned CDO.  This can consist of managing integration of new technology, standardization of workflows within revenue cycle management (RCM) or general operations, project management, development of action plans, coordinating and standardization of data.  This role would also participate in providing input in strategic planning with the local market, RCM leads and vendors as applicable.  Manages multiple functions and serves as a resource with oversight in day-to-day activities.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 50% travel.

Primary Responsibilities:

Responsibilities include but are not limited to:

Revenue cycle training and support, and integration activities Revenue cycle performance monitoring, issue identification, and workflow design Work closely with all RCM leadership across OH and local markets in developing strategies and solutions to drive metrics towards goal Project manage major initiatives that involve optimization, root cause resolution and standardization of workflow Support Merger and Acquisition diligence and integration activities related to Revenue Operations as needed Creates and updates status reports, templates, and deliverables tied to specific projects Development and maintenance of project plans Work closely with other departments (Operations, IT, Finance, Healthplan) to streamline procedures that are tied to RCM performance improvement 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 Work with local leadership in expansion of service offerings as needed Acts as a facilitator and generator of new ideas and a mediator on difficult issues Participates in the identification of opportunities to improve processes and acts as a catalyst for realizing these improvements Responsible for development and performance management within areas of responsibility, translating the organizational vision into meaningful and effective results Serves as a liaison between other departments and agencies inside and outside Optum Health This position will primarily support their assigned group however enterprise projects and pipeline growth may require coverage in other groups. This role will require 60% travel

Skills and Abilities:

Must understand and articulate the revenue cycle process from start to finish to CDO leadership and explain how each lane depends on the other for accuracy in data and claims processing Must be willing to travel on site to help with performance remediation, problem solving, and  integration of new functions, systems and workflow design Ability to communicate concisely and effectively to varying degrees of audiences, with a thorough understanding of larger business issues; comfortable with metrics, and financial and technical/clinical analysis Ability to analyze and present findings across facility site visits and collaborate on strategic action plans when facilities do not meet revenue cycle metric expectations Use data to identify trends, inefficiencies, and areas for improvement Facilitate communication and collaboration between departments to resolve issues and improve workflow Lean into initiatives to streamline revenue cycle operations and improve overall efficiency. Identify opportunities to reduce costs, minimize denials, and enhance cash flow Comfortable leading training, both in large and small group settings Prepare and present revenue cycle metrics, action plans and overall performance at group as well as local level Understand revenue recognition, how it impacts net patient revenue and our downstream accounting systems Ability to read managed care contracts and apply basic principles  

Skillsets:

Proven interpersonal skills with the ability to engage and influence stakeholders at all levels. Ability to effectively communicate with team members, management, and external stakeholders Self-driven and personally accountable to achieve results and has internal drive and commitment to achieve those results in the face of difficulty and obstacles Solid understanding of revenue cycle processes, healthcare reimbursement models, and regulatory requirements Results oriented with the ability to meet deadlines in a fast-paced, dynamic, project-oriented environment Excellent professional presentation and organization skills, including ability to manage an array of projects, and deadlines Self-motivated, detail oriented, solid analytical and critical-thinking skills Excellent verbal and written communication skills

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:

Deep knowledge of healthcare billing, coding, payer rules, and reimbursement methodologies (e.g., Medicare, Medicaid, commercial payers). Familiarity with compliance and regulatory requirements Solid understanding of revenue cycle management software, healthcare billing systems, and reporting tools. Proficiency in Microsoft Office Suite, especially Excel for data analysis Basic accounting procedures with some accounting background in a medically related environment Proven efficient project management skills

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

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

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.

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.