[Hiring] Senior Manager, Revenue Cycle Management Business Support @UnitedHealth Group

Role Description

This position will support the execution of end-to-end revenue cycle service commitments for one of Optum’s Health System partnerships. The role will continuously drive client revenue cycle performance improvement, as well as cost, productivity, and profitable goals.

• Lead analysis of front-end, mid-cycle, and back-end revenue cycle operations to identify opportunities that improve reimbursement, cash collections, and overall financial performance.
• Serve as a revenue cycle subject matter expert, partnering with operational leaders to resolve barriers impacting claim payment, account resolution, and revenue realization.
• Drive CPI and KPI for continuous performance improvement initiatives through operational analysis, performance monitoring, and implementation of corrective actions.
• Lead comprehensive denial management programs focused on identifying denial trends, quantifying financial impact, and reducing avoidable write-offs.
• Perform detailed denial root cause analyses across patient access, authorization, medical necessity, payer policy, charge capture, billing, and claim submission processes.
• Develop and implement denial prevention strategies, corrective action plans, and operational process improvements to improve first-pass payment rates and reduce denial volumes.
• Oversee denial recovery efforts, including appeals prioritization, escalation strategies, payer issue resolution, and monitoring appeal success rates.
• Analyze payer-specific denial and reimbursement trends to identify systemic issues, contract compliance concerns, and recovery opportunities.
• Conduct A/R work queue and aging analyses to identify reimbursement barriers, prioritize resolution activities, and accelerate cash collections.
• Lead revenue cycle initiatives supporting operational excellence, enterprise standardization, technology adoption, and performance improvement objectives.
• Translate operational and financial data into actionable recommendations, business cases, and implementation plans that improve revenue cycle outcomes.
• Partner with Patient Access, Financial Counseling, Revenue Integrity, Managed Care, and other operational teams to improve processes impacting reimbursement and denial prevention.
• Facilitate cross-functional operational reviews and working sessions to address performance gaps, revenue leakage, payer challenges, and process inefficiencies.
• Monitor implementation and operational performance, ensuring sustainable adoption of revenue cycle best practices and achievement of targeted financial results.
• Function as both a strategic leader and hands-on contributor, personally driving analysis, stakeholder engagement, solution development, and execution of initiatives that improve net revenue performance.
• Use enterprise-approved AI tools to streamline workflows, automate tasks and drive continuous improvement.

Qualifications

• 5+ years of experience in Revenue Cycle Management Operations.
• 3+ years of Business Process Improvement, Consulting, Project Management, or a related field.
• Experience utilizing data and analytics to identify performance improvement opportunities and support decision-making.
• Demonstrated experience driving projects and introducing technology to improve client performance and operational efficiency.
• Demonstrated experience facilitating organizational change and providing process improvement recommendations.
• Experience leading operational improvement, implementation, transformation, or process standardization initiatives.
• Working knowledge of revenue cycle operations, workflows, performance metrics, and operational best practices.
• Proven ability to analyze complex market opportunities and develop creative solutions.
• Willing or ability to travel to client locations if not located in Bay Area.

Preferred Qualifications

• Experience working within a global organization.
• Proven excellent communication, leadership, customer service, and problem-solving skills.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

Salary Information

The salary for this role will range from $91,700 - $163,700 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.