Leads healthcare revenue cycle consulting engagements across patient access, coding, billing, claims, denials, and revenue integrity. Assesses workflows, systems, and data; develops future-state designs, roadmaps, business cases, and implementation plans. Manages requirements, scope, risks, testing, training, deployment, change adoption, and stakeholder communication. Advises executives, supports AI-enabled transformation, mentors consultants, manages workstreams, and contributes to proposals and consulting methodologies.
Requisition Number: 2401449
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Join Optum at the forefront of healthcare's transformation. As a Senior Consultant, Revenue Cycle, you will help organizations by leading engagements that simplify complex workflows and apply AI and intelligent automation where they deliver measurable value. In a new and growing service line, you will partner with stakeholders to help shape how revenue cycle consulting is delivered at Optum.
The Senior Consultant, Revenue Cycle must be self-motivated, with exceptional communication and interpersonal skills and the ability to work well in teams.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Join Optum at the forefront of healthcare's transformation. As a Senior Consultant, Revenue Cycle, you will help organizations by leading engagements that simplify complex workflows and apply AI and intelligent automation where they deliver measurable value. In a new and growing service line, you will partner with stakeholders to help shape how revenue cycle consulting is delivered at Optum.
The Senior Consultant, Revenue Cycle must be self-motivated, with exceptional communication and interpersonal skills and the ability to work well in teams.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Lead revenue cycle consulting engagements and workstreams across patient access, coding, clinical documentation improvement, billing, claims, denials, patient financial services, and revenue integrity, including assessments, implementations, workflow redesign, and optimization
- Partner with revenue cycle, finance, operational, clinical, and technology stakeholders to assess workflows, systems, and data; translate findings into scalable future-state designs and implementation plans, including AI and intelligent automation where they add measurable value
- Guide business requirements and functional specifications; manage scope changes; coordinate configuration, testing, training, deployment, and adoption
- Lead change management and adoption strategies, including stakeholder readiness, communications, training, and sustainment planning
- Support issue escalation and resolution during implementation and ongoing operations, including after-hours coverage when required
- Develop assessments, roadmaps, business cases, and executive presentations; define measurable outcomes such as cash acceleration, net revenue, clean claims, denial prevention, cost to collect, A/R performance, and return on technology investment, including AI-supported solutions when appropriate
- Build strong relationships with client executives, revenue cycle and finance leaders, clinicians, technology teams, and vendors while driving clear communication, decision-making, and risk management
- Mentor consultants and serve as a revenue cycle subject matter resource and trusted advisor to client teams
- Manage assigned workstreams across scope, schedule, risks, deliverable quality, and stakeholder expectations; support engagement leaders with budget and resource management
- Contribute expertise to proposals, solution development, client presentations, and the improvement of consulting methodologies, tools, and delivery standards, including responsible use of AI-enabled 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:
- 7+ years of healthcare technology, revenue cycle operations, patient financial services, EHR, and/or consulting experience, including leading projects, workstreams, or teams
- 4+ years leading strategic and advisory revenue cycle engagements across hospital, professional, and/or ambulatory settings, including assessments, roadmaps, workflow transformation, and executive recommendations
- 2+ years managing project scope, schedules, risks, resources, and stakeholder expectations in a client-facing or complex healthcare environment
- Demonstrated understanding of end-to-end revenue cycle workflows and systems, with experience translating operational and financial needs into technology solutions
- Ability and willingness to travel up to 25% based on client and engagement needs
Preferred Qualifications:
- Professional credentials and methods: Revenue cycle certification or advanced training, such as HFMA CRCR or CHFP, and/or PMP, Prosci, Lean Six Sigma, or a comparable consulting methodology certification
- Revenue cycle and EHR advisory experience: Experience with major EHR or patient accounting platforms, vendor-selection engagements, or revenue cycle technology assessments, and facilitating cross-functional stakeholders
- Data, integration, and revenue cycle systems: Experience with patient accounting, claims and remittance, payer connectivity, eligibility and authorization, denial management, analytics, data conversion, or systems integration
- Consulting and client deliverables: Consulting-firm experience developing client-facing analyses, executive presentations, business cases, and roadmaps; major EHR revenue cycle certification is beneficial but not required for this vendor-neutral role
- AI-enabled revenue cycle transformation: Experience applying generative AI, predictive analytics, intelligent automation, or low-code tools to revenue cycle use cases, including governance, validation, and human-in-the-loop workflows
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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