VP RCM Innovation and Automation – Remote
Carreiras no UnitedHealth Group
Estamos criando oportunidades em todas as áreas da assistência à saúde para melhorar vidas enquanto construímos carreiras. No UnitedHelath Group, apoiamos você com as ferramentas mais recentes, treinamento avançado e a força combinada de colegas de trabalho de alto calibre que compartilham sua paixão, sua energia e seu compromisso com a qualidade. Junte-se a nós e comece a fazer o melhor trabalho da sua vida.SM
Carreiras em Tecnologia
No UnitedHealth Group, não estamos apenas usando a tecnologia para ajudar milhões a receber cuidados, estamos evoluindo. Desde as ferramentas e metodologias de desenvolvimento mais avançadas até os mais altos níveis de segurança cibernética, estamos compartilhando e aprendendo novas maneiras de fazer com que a tecnologia e os serviços de saúde funcionem melhor todos os dias. Junte-se a nós e você será desafiado a fazer o melhor trabalho da sua vida.SM
Carreiras Clínicas
Compaixão. É o ponto de partida para profissionais de saúde como você e é o que nos move todos os dias, ao juntarmos nossas habilidades excepcionais com um verdadeiro sentimento de cuidar dos outros. Este é um lugar onde seu impacto vai além de cuidar de um paciente por vez. Porque aqui, todos os dias, você também fornece liderança e contribui de maneiras que podem afetar milhões nos próximos anos. Pronto para um novo caminho? Saiba mais e comece a fazer o melhor trabalho da sua vida.SM
Carreiras em Serviço ao Cliente
Nossas equipes de atendimento ao cliente e ouvidoria estão ajudando pessoas de todo o mundo. Podemos oferecer o melhor de você, ao colocar suas habilidades de escuta, análise e resolução de problemas em um ambiente voltado para ajudar a melhorar vidas e melhorar a assistência médica para milhões. Aqui, você descobrirá uma variedade de caminhos para o crescimento profissional no Atendimento ao Cliente e em toda a economia global. Junte-se a nós e descubra por que esse é o lugar para fazer o melhor trabalho da sua vida.SM
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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
We are seeking a dynamic and strategic Vice President of Revenue Cycle Innovation and Automation to lead our efforts in optimizing the revenue cycle processes. This individual will be responsible for driving innovation, implementing automation solutions, and ensuring the highest level of efficiency in revenue cycle management. The ideal candidate will possess a strong background in healthcare revenue cycle operations, technology integration, and process improvement.
This person will serve as a strategic leader responsible for transforming the end-to-end revenue cycle through the deployment of advanced AI, modern automation, and performance-driven process design. This role will align business operations, technology innovation, and financial outcomes to maximize revenue capture, reduce friction, and drive enterprise value creation.
This role will be pivotal in shaping the future-state revenue cycle operating model, building scalable automation frameworks, predictive analytics platforms, and intelligent workflows across pre-service, mid-cycle, and back-end functions.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Strategic Leadership: Develop and execute a comprehensive revenue cycle innovation strategy aligned with the company’s goals and objectives
- Innovation Management: identify and evaluate emerging technologies and process improvements to enhance revenue cycle operations, including automation tools and data analytics
- Innovation Oversight: Evaluate emerging technologies (AI/ML, NLP, OCR, automation platforms) to optimize claims, denials, prior authorization, coding, and collections processes
- KPI Governance: Establish enterprise-wide revenue cycle KPIs including clean claim rate, denial rate, days in A/R, cash acceleration, and net collection yield
- Process Optimization: Lead initiatives to streamline revenue cycle processes, reduce costs, and improve overall efficiency and effectiveness
- Cross-Functional Collaboration: Collaborate with clinical, financial, and operational leaders to ensure alignment and integration of revenue cycle initiatives across the organization
- Performance Metrics: Establish and monitor key performance indicators (KPIs) to assess the effectiveness of revenue cycle operations and drive continuous improvement
- Change Management: Foster a culture of innovation and adaptability, guiding teams through the implementation of new technologies and processes
- Regulatory Compliance: Ensure that all revenue cycle operations comply with regulatory requirements and industry standards
- Team Development: Mentor and develop a high-performing team, providing guidance and support to enhance their skills and capabilities
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:
- 10+ years of experience in revenue cycle management, with a focus on innovation and automation in the healthcare sector. including 3–5 years leading digital transformation initiatives
- Proven track record of successfully leading and implementing revenue cycle transformation initiatives
- Demonstrated success implementing AI or automation at scale within complex, multi-site healthcare environments
- Strong understanding of healthcare regulations, compliance standards, and industry best practices
- Exceptional analytical, problem-solving, and decision-making skills
- Experience with data analytics tools and revenue cycle management software
- Deep knowledge of payer rules, revenue cycle benchmarks, and reimbursement models
- Executive-level communication, board reporting, and stakeholder alignment expertise
- Experience with platforms such as UiPath, Automation Anywhere, AWS/Azure AI tools, Epic/Cerner, Tableau/Power BI
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
The salary range for this role is $150,200 to $288,500 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. UnitedHealth Group complies with al 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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
Detalhes da Vaga
Número da Requisição 2288587
Segmento de Negócios Optum Health Services
Condição Empregatícia Regular
Nível de Emprego Director
Viagem Yes, 25 % of the Time
Status de hora extra Exempt
Horário de Trabalho Full-time
Turno Day Job
Posição de trabalho à distância Yes
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