Service Area Director Revenue Cycle -Las Vegas, NV or Phoenix, AZ - Full-time / Part-time

Health care isn't just changing.  It's growing more complex every day.  ICD10 replaces ICD9.  Affordable Care adds new challenges and financial constraints.  Where does it all lead?   Hospitals and health care organizations continue to adapt, and we are vital part of their evolution.  And that's what fueled these exciting new opportunities.  

Who are we?  Optum360.  We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise.  As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of revenue management services to health care providers nationwide.   If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be.  It's an opportunity to do your life's best work.  SM

The Service Area Director, Revenue Cycle is directly responsible for Optum 360 client relationships within the assigned Service Area.  The Director will work to leverage performance in Optum 360 functional areas, providing feedback and influence to continually improve client, physician, employee, and patient satisfaction levels.  The Service Area Director, Revenue Cycle is a critical member of the Optum 360 Client Delivery Assurance leadership team, and also functions as a critical member of the leadership teams in the assigned Service Area.  The Service Area Director, Revenue Cycle utilizes historic and current data to monitor and track performance and trends, and escalates issues in order to improve business and advance Service Level Agreement commitments.

Principal Job Functions:

•Functions collaboratively as the primary liaison between client Service Area leadership, and Client Delivery Assurance; leverages relationships with other Optum 360 Service Area Revenue Cycle Leaders (Patient Registration, HIM etc.) and COEs to continually improve revenue cycle performance.

•Works collaboratively with other Service Area Directors, Revenue Cycle, to understand system-wide trends, common barriers and to develop solutions.

•Effectively utilizes tools and data provided to capture and continually improve client satisfaction and employee engagement.

•Leads by example; promotes teamwork by fostering a positive, transparent and focused working environment which achieves maximum results.

•Cultivates exceptional relationships at the system level, and in assigned Service Area, resulting in support and participation in initiatives which advance business objectives.

•Participates actively in leadership forums at the system level and in assigned Service Area.

•Maintains and demonstrates expert knowledge of the application of revenue cycle processes and best practices; drives the integration of local revenue cycle functional areas and system level COE's into the Service Area business environment.

PRIMARY RESPONSIBILITIES:

•Proactively monitors, trends, and facilitates the utilization of continuous process improvement methods to achieve Service Level Agreement commitments.

•Proactively collaborates with Optum 360 Service Area Revenue Cycle Leaders to investigate negative trends or variances; leverages COE's and local relationships to resolve performance issues. Provides complete, accurate and timely reporting of revenue cycle data metrics to Optum 360 executive leadership; supports regularly scheduled revenue cycle meetings at the System Level and in assigned Service Area, providing appropriate data as needed.

•Provides complete, accurate and timely reporting of revenue cycle metrics to service area client leadership; proactively provides additional analysis, as needed, to explain significant shifts or areas of concern.

•Understands demographic and market fluctuations at the Service Area and how these might impact revenue cycle metrics and Service Level Agreement commitments.

•Proactively escalates risks and issues to COE's or appropriate leadership, resulting in timely and effective resolution.

•Supports COE's by educating facilities in assigned Service Area with regard to Optum 360 policy changes, updates, and compliance information regarding revenue or payer requirements.

•Leverages relationships with appropriate stakeholders to drive repeatable processes across facilities, creating economies of scale and improving overall performance.

•Utilizes tools provided to maintain awareness of client satisfaction; ensures effective and timely resolution of issues; drives continuous improvement in client satisfaction measures.

•Monitors Service Area performance against Service Level Agreement commitments; takes appropriate and timely action to escalate risks, issues, and drive resolution.

•Maintains knowledge of the processes related to financials in the revenue cycle model; supports activities and initiatives that result in improved efficiency and financial performance.

•Bachelor's/Master's Degree preferred

•5+ years of proven leadership with the ability to build relationships/collaborate and influence all levels; strong collaboration and conflict resolution skill set

•5+ years hospital (clinical, ancillary and/or billing) revenue cycle management experience (registration, scheduling, coding, billing and contracting) required

•Strong understanding of billing/collections within revenue cycle management preferred

•Consulting  experience preferred

•Strong independent decision-making ability and negotiation skills

•Exceptional communication, presentation, problem-solving and analytical skills

•Ability to drive influence/drive change without formal authority

•Demonstrated Client service orientation with an ability to be flexible

•Intermediate proficiency with Microsoft Excel, Word, Project, PowerPoint required 

•Prior experience with the major Patient Registration and Patient Financial Services technologies

•Experience leading or participating in large Revenue Cycle related IT program implementation preferred

•Good understanding of ICD-9 and ICD-10

•Must be willing and able to travel, including overnight, as needed up to 25% of time

Optum 360 is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

We are dedicated to transforming the revenue cycle for health systems, hospitals and physician practices, while delivering a better patient experience.   We help systems integrate processes and technology across hospitals, physician group and clinics to achieve greater cohesion, consistency and efficiency – all essential to a smooth revenue cycle. 

 
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.