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Client Delivery Lead, Revenue Cycle Management

2 months ago

Eden Prairie, United States Optum Full time

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.


This position will oversee the development and execution of service delivery commitments to continuously drive cost performance, productivity and profitable growth while ensuring successful delivery on end-to-end performance requirements for revenue cycle management clients with annual collections greater than $10+ Billion representing 20 or more facilities.


Success depends on driving efficiency, effective partnership, influence, and collaboration across various functions of Optum Insight ensuring initiatives and strategy are targeting delivery of world class billing services, driving patient and customer commitment, and maximizing return through improved bad debt, cash realization and cost efficiencies. This position is responsible for influencing change related to the key functions of Revenue Cycle through collaborative engagement with various matrixed teams to develop and support innovative initiatives that will achieve optimal results while identifying gaps in client support/performance and proposes solutions (technology, services) to drive performance improvement Relationship Management internally and externally.


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


Primary Responsibilities:

  • End-to-end responsibility for:
    • Ensuring the Optum revenue cycle management suite of metrics and KPIs for each client accurately and comprehensively reflect client financial and operational priorities
    • Developing and managing all client metric reporting definitions and requirements for both internal and external usage
    • Monitoring client level performance against internal Optum RCM metrics and client level SLAs and KPIs in order to facilitate early issue detection
    • Where anomalies exist between actual performance and client SLAs or internal Optum RCM KPI targets, assemble and lead multi-functional teams to understand root cause, build and manageremediation plans until expectedperformance levels are achieved
    • Utilize matrix management skills to build multi-functional teams which achieve desired business outcomes
  • Functions as the primary client interface and an extension and representative of RCM Operations
  • Regular monitoring of inventory performance (volumes, dollars, capacity, backlogs, etc.)
  • Collaborative internal calendar planning and report out with RCM Operational leaders
  • Develop, execute, and monitor client-oriented C&P program planning coordination across RCM inclusive of expense reduction planning with functional leaders and revenue growth planning with Client Relationship Executive (CRE)
  • Regular KPI monitoring & deep dive reviews for client SLAs, cost to collect, C&P plan achievement, compliance & policy adherence
  • Fosters effective communication and builds relationships with client and internal matrixed teams
  • Leads initiatives and performance outcomes by creating a collaborative, high performance work environment, continually addressing issues in operations and performance, and ensuring successful sustainable outcomes in the delivery of client/partner results
  • As business performance and client needs evolve, partner with CRE to manage operationally oriented communications to both client and Optum RCM senior executives necessary to drive successful business outcomes


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:

  • 8+ years of RCM Operations leadership experience overseeing Front, Middle, and/or Back
  • 8+ years of client management/consulting experience within the healthcare delivery system with interfacing with enterprise level executives
  • 4+ years of formal operations leadership experience leading a RCM team
  • Demonstrated experience building, maintaining rapport and influence with enterprise level executives
  • In depth knowledge of client services management
  • Demonstrated ability to make strategic, operational and administrative decisions in response to emerging conditions and environmental circumstances
  • Proven ability to analyze complex market opportunities and develop creative solutions to a wide variety of unique market problems; advanced consultative selling skills with the ability to successfully construct solutions
  • Proven ability to facilitate organizational change through the implementation of new programs and services
  • Proven ability to provide recommendations and insight regarding improvements to internal and external processes
  • Proven excellent communication, leadership, customer service, and problem-solving skills
  • Proven ability to manage and support organizational change and help assist individuals through the transition
  • Proven solid people skills with direct experience in successfully managing client facing/growth initiatives within highly matrixed organizations
  • Proven ability to portray the organization's mission to improve the health of the people living in the communities served through integration of patient care, research, and education in a caring environment
  • Willing and able to travel 50% of the time on a sustained basis


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


California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $147,300 to $282,800 annually. 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.