Optum, an industry leader in healthcare implementation and consulting services, is adding additional talent to our Revenue Cycle Site Transition team. Ideal candidates will have experience in multiple functional revenue cycle areas which include Patient Financial Services, Patient Access, Registration and Revenue Integrity. This is a full time position that would allow employees to see career growth while taking on challenging engagements around the United States. Revenue Cycle Associate Directors / Directors serve as industry experts while they implement best practices in Optum360 client/partner locations. Associate Directors / Directors combine their leadership, experience and understanding of Optum360 solutions to bring world class results in Revenue Cycle Projects and end-to-end partnerships. You'll enjoy the flexibility to telecommute* from anywhere within the East Coast or Midwest as you take on some tough challenges. If outside of Long Island, NY, the position will require 75-80% travel (M-TH) to that partner location. Significant responsibility for managing large complex diligence efforts ranging from large academic medical centers to smaller community hospitals. Effectively communicate and build relationships with client executives and management to assess business needs and design and implement measureable solutions that meet or exceed diligence objectives. Lead and oversee project teams by creating a collaborative, high performance work environment while continually addressing issues and ensuring successful outcomes throughout the project. Work collaboratively in a team environment while also exercising appropriate autonomy when needed to meet job requirements.Typical projects include, but are not limited to: Revenue cycle assessments Revenue cycle process improvement Alignment and implementation of client/partner processes and Optum360 technology Revenue cycle improvement / redesign Reimbursement and managed care Interim management (as applicable)Primary Responsibilities:Provide revenue cycle management services to client/partners in all areas of the healthcare revenue cycle which includes: Patient access (scheduling, preregistration, insurance verification/financial counseling) Registration/Admission (ED, inpatient, outpatient, ambulatory) Health Information Management (transcription, coding, clinical documentation improvement) Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution) Decision support and analytics Productivity and quality managementSuccessfully lead and manage a diverse group of professionals and personalities on large complex engagements by fostering a collaborative team culture Orchestrate multiple complex work streams through others by directing and leading, not necessarily doing Document findings, impacts and recommendations within assessment deliverables; responsible for the revenue cycle sections within each deliverable Collaborate with assessment team (Clinical, IT and PM) in developing overall strategic findings and recommendations based on areas of risk or opportunity identified during interviews Communicate effectively (written and verbal) to a variety of audiences; must be able to persuade and influence the actions of others; Interactions will range from routine to complex and include formal and informal presentations, one-on-one and group discussions Prepare final client status reports and create presentations to clients and engagement staff that demonstrate full command of factual material Manage day-to-day client relationships including executive management Play a key role in the retention, professional development and performance review of staff, including the mentoring, coaching and recruiting of staff Identify client/partner barriers in achieving operational excellence Understand client/partner business metrics and results Evaluate and analyze client/partner data to understand trends in all areas of the operation Development of options and recommendations for client/partner improvement Perform benefit modeling and financial analyses that clearly demonstrate the value of our solution to clients and prospective clients Collaborate with client/partner revenue cycle team and other departments in order to facilitate resolution of process issues and implement world-class solutions Provide informed feedback to Optum360 and client/partner executives including assessments of processes, standards, suggestions and improvements Develop work plans, project tasks and manage projects in accordance with budget Provide interim staffing services as required
Required Qualifications:Undergraduate degree (Business, Healthcare Management or Finance preferred) 3+ years of project/program management experience, including demonstrated ability to lead complex projects to successful close 2+ years of provider revenue cycle experience focused on receivables (A/R) management, denials management, and process improvement Strong data analysis skills Solid understanding of revenue cycle workflow in the hospital and ambulatory environment (registration, scheduling, coding, billing, denials management) Revenue cycle consulting experience, such as revenue cycle outsourcing, interim management or performance improvement Significant experience leading, liaising with, or overseeing business process outsourcing teams, including a thorough understanding of the key determinants of business process outsourcing success Advanced knowledge of Excel and ability to manipulate data, interpret data trends, and turn information into usable business intelligence Experience and comfort working at all levels of a health care organization Ability to probe, analyze, synthesize and articulate complex subject matter so it can be easily understood A high degree of self-motivation, versatility and flexibility Proficient personal computer skills, including Microsoft Office Working knowledge of hospital based IT systems Excellent interpersonal, written, and oral communication skills Excellent presentation skills Ability to adapt to a flexible schedule Must be willing to travel 75% of the time. International travel may be required. Travel is typical for this role 3 of 4 weeks a month and our associates leave early Monday and return late on Thursday Location of residence is flexible for this role; however, travel is a requirementPreferred Qualifications:Master's degree Prior Revenue Cycle hospital based provider consulting or revenue cycle management experience Experience working in a Big 5 or large consulting organization Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy 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. Job Keywords: revenue cycle optimization, program management, project management, data analysis, travel, telecommute
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.