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Hours Full-time, Part-time
Location Eden Prairie, MN
Eden Prairie, Minnesota

About this job

This isn't packaged goods. It's a bigger challenge than that. Here you're making a difference in people's lives, starting with your own. Join us and start doing your life's best work.(sm)

 

The Revenue Cycle Solution Design team is responsible for completing revenue cycle assessments to identify revenue improvement and efficiency opportunities across Patient Access, Health Information Management / Revenue Integrity and Patient Financial Services. The team leads full partnership due diligence efforts to estimate the benefit that can be generated for a potential client and the impact to the Optum 360 bottom line. 

 

The Revenue Cycle Assessment Consultant will work with the team to plan and execute Optum360's assessments and full due diligence activities across all revenue cycle functions, with a specific emphasis on back office revenue cycle functions. The senior analyst should have proficiency in:

  • Operations and/or consulting for pre-bill clean claim requirements, billing, collections, payment management
  • General back office metrics, productivity standards and workflow
  • Understanding the root cause linkage of back end claim issues and the originating cause of the issue (e.g. payment delays, returned mail and bad debt caused by incorrect information capture and quality checks during registration), 
  • Government (e.g. Medicaid, Medicare), commercial and self-pay payers

The Revenue Cycle Assessment Consultant will serve as an operational work stream lead and will serve as the coordination point for cross-functional diligence teams in the following areas: technology, optimization, compliance, human capital and finance. This position is responsible for participating in work plan development and tracking and on-site client meetings and for providing compelling presentations and proposals required to design solutions to improve revenue cycle management for potential clients.  In order to complete this effort, senior analysts / associates must have a thorough understanding of the revenue cycle and the Optum360 solutions. 

 

Primary Responsibilities:

  • Owns a specific work stream of the end to end assessment and full due diligence processes at a single potential client site
  • Back end experience as described above is required
  • Identifies opportunity areas and contributes to the development of benefit estimates and financial models for potential clients
  • Manages timelines and project plans for the completion of the assessment and full due diligence process
  • Serves as the key data contact for a potential client, including reviewing the data request with the client, fielding questions regarding the request and posing any necessary questions back to the client in order to validate the integrity of the data
  • Acquires and processes client data necessary for high level assessment and full due diligence efforts.  Demonstrates ability to analyze large volumes of data in order to produce useable results to meet evaluation objectives
  • Collaborates with other functional units (optimization, finance, human capital, technology and compliance) to ensure timely reviews and contributions of final documents
  • Assists with pre-onsite planning and logistics (e.g. flight, hotel, and rental car logistics)
  • Prepares first draft of the benefits based on the high level assessment and full due diligence efforts
  • Contributes to Revenue Cycle Solution Design methodology development and other functional assignments as assigned
  • Displays ability to effectively communicate within the Revenue Cycle Solution Design team as well as externally
  • Demonstrates creativity to design approach and problem solving skills
  • Provides operational subject matter expertise in the development of sales materials in preparation for initial and ongoing client conversations
  • Supports innovation execution for strategic organization initiatives
  • Attends industry conferences and acts as a subject matter expert for Optum 360
  • Presents to small / moderate sized groups well and has the ability to adjust message to audience (CFO, CEO or VP of Revenue Cycle)
  • Exemplifies Optum360 values of integrity, respect, collaboration, innovation, and excellence across all activities
  • Enables achievement of Optum360 goals for growth, execution, customers, and people

Required Qualifications:

  • Bachelor's degree
  • Strong proficiency in Microsoft Office Suite including Excel, PowerPoint and Visio
  • Ability to condense large amounts of data into succinct, executive level Presentations
  • General Revenue Cycle knowledge across Patient Access, Health Information Management / Revenue Integrity / Coding / Clinical Documentation Improvement

    • Heavy emphasis on Patient Business Office
  • Ability to manage and analyze large amounts of patient claims and operational data
  • Ability to travel 75% to client sites

Preferred Qualifications:

  • Advanced degree
  • Industry or consulting experience

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)

 

 

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, Assessment Consultant, Consultant, Business Consultant, Consulting, Eden Prairie, MN, Minnesota, telecommute, remote, work from home