Job Description

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 Revenue Cycle Consultant will work with the team to plan and execute Optum\xe2\x80\x99s assessments and full due diligence activities across all revenue cycle functions, with a specific emphasis on back office revenue cycle functions. The Consultant should have experience in:

• Operations and / or consulting for pre - bill clean claim requirements, billing, collections, payment management
• General back office metrics, productivity standards and workflow
• Understanding the root cause linkage of back end claim issues and the originating cause of the issue (e.g. payment delays, returned mail and bad debt caused by incorrect information capture and quality checks during registration)
• Government (e.g. Medicaid, Medicare), commercial and self - pay payers

The Revenue Cycle Solution Design team is responsible for completing revenue cycle assessments to identify revenue improvement and efficiency opportunities across Patient Access, Health Information Management / Revenue Integrity and Patient Financial Services for both Acute and Ambulatory clients. The team leads full partnership due diligence efforts to estimate the benefit that can be generated for a potential client and the impact to the Optum bottom line.

You\xe2\x80\x99ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Supports a specific work stream of the end to end assessment and full due diligence processes at a single potential client site
• Contributes to the development of benefit estimates and financial models for potential clients
• Serves as the key data contact for a potential client, including reviewing the data request with the client, fielding questions regarding the request and posing any necessary questions back to the client in order to validate the integrity of the data
• Acquires and processes client data necessary for high level assessment and full due diligence efforts. Demonstrates ability to analyze large volumes of data in order to produce useable results to meet evaluation objectives
• Collaborates with other functional units (optimization, finance, human capital, technology and compliance) to ensure timely reviews and contributions of final documents
• Assists with pre-onsite planning and logistics (e.g. flight, hotel, and rental car logistics)
• Assists with the preparation for the first draft of the benefits based on the high level assessment and full due diligence efforts
• Contributes to Revenue Cycle Solution Design methodology development and other functional assignments as assigned
• Displays ability to effectively communicate within the Revenue Cycle Solution Design team as well as externally
• Demonstrates creativity to design approach and problem solving skills
• Provides operational subject matter expertise in the development of sales materials in preparation for initial and ongoing client conversations
• Supports innovation execution for strategic organization initiatives
• Exemplifies Optum values of integrity, respect, collaboration, innovation, and excellence across all activities
• Enables achievement of Optum goals for growth, execution, customers, and people

You\xe2\x80\x99ll 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
• Revenue Cycle knowledge in at least one of the following areas: Patient Access, Health Information Management / Revenue Integrity / Coding / Clinical Documentation Improvement / Business Office / Denials Management
• Solid proficiency in Microsoft Office Suite including Excel, Access, PowerPoint and Visio
• Proven ability to condense large amounts of data into succinct, executive level Presentations
• Proven ability to manage and analyze large amounts of patient claims and operational data
• Ability to travel up to 25%

Preferred Qualifications:

• Advanced degree
• Industry or consulting experience
• Outsourcing operations or assessment experience
• Back - end Revenue Cycle

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, New Jersey, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $67,800 to $133,100. 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\xe2\x80\x99ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group\xe2\x80\x99s 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\xe2\x80\x93of every race, gender, sexuality, age, location and income\xe2\x80\x93deserves 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.

UnitedHealth Group