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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 entire group provides reporting and analytics for all MPP Clients that have an end-to-end relationship across the Revenue Cycle (e.g., Patient Access, HIM/Middle Revenue, Billing/Collections). Partnering with counterparts in Data Acquisition who pull data from Clients and create data models and logic with Engineering counterparts to feed both contractually obligated reporting in the Service Level Agreements (SLA) with the Client as well as Operational reporting that helps internal Optum teams in these area make some data driven decisions on what is happening in each of the Revenue Cycle areas, e.g., meeting targets/goals being met, areas of opportunity and improvement, etc.This individual will support revenue cycle reporting and analytics, giving our transformation and operations team the insight needed to drive performance improvements, resulting in budgeted SLA achievement and client satisfaction.You will be a part of a team of multiple departments and specialties on long term projects for the betterment of healthcare providers in financial strain. Helping to support Optum partnerships for continued corporate growth.You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
Effectively communicate findings and root cause analysis to support operation and financial decisions
Assist in designing and modeling datasets for reporting and visualization
Utilize data from myriad of sources to support performance measurement baselining and trending
Analyzing datasets and communicating observations
Collaborate with team members to identify and prioritize/reprioritize work to meet aggressive deadlines
Effective at working at both a data detail level and a strategic thinking level
Collaborative and works cohesively in dynamic team environment
Seek opportunities to improve operating efficiencies/effectiveness (e.g., downstream impacts, role/responsibility realignment, enhanced business value)
Gather information needed for the definition of requirements (e.g., business use cases, user stories)
Collaborate with project team members to create detailed requirements documents
Facilitate all needed requirements gathering activities (e.g., meetings, workshops)
Identify capability gaps between current state and desired state (e.g., data gaps, system cap, etc.)
Collaborate with technology stakeholders (e.g., System Analysts, architects) to communicate business and technical requirements
Ensure that project requirements are clearly and comprehensively documented and understood
Communicate ongoing updates to all stakeholders to ensure understanding of and alignment with project status/changes
Manage/update requirements documents as needed throughout the design/development process (e.g., document revisions, change requests)
Contribute to and/or facilitate the identification/prioritization of business/process solutions (e
Identify and/or establish appropriate testing metrics/targets to validate that business requirements are being met (e.g., performance metrics, process deliverables, business value)
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:
5+ experience/knowledge in healthcare revenue cycle management operations (e.g., patient access, revenue integrity, billing, coding, denials management, claims reimbursement)
5+ years of experience in revenue cycle management reporting
1+ year of experience working with SQL
Understanding of key revenue cycle metrics/performance indicators and calculations
Possess data processing, analytical and critical thinking skills
Intermediate level in Microsoft Excel and Word
Proven ability to analyze data to identify trends and issues
Preferred Qualifications:
Bachelor’s degree in Business, Finance, Healthcare
Experience working with both acute and ambulatory healthcare data
Knowledge of multiple healthcare systems: Epic, Cerner, Meditech, MS4 etc.
Proven ability to facilitate constructive dialogue and effective problem-solving approaches
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, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, 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’ll find a far-reaching choice of benefits and incentives.All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter PolicyAt 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.
Full-time