Chief Revenue Officer, CDH and MedExpress - Telecommute

UnitedHealth Group

Canonsburg Pennsylvania

United States

Executive Management
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) The Chief Revenue Officer is responsible for revenue cycle management, payor relations, and contracting for Center for Digital Health and MedExpress. This role works collaboratively with the executive leadership team to provide strategic leadership and implementation of activities pertaining to patient and insurance collections, cash/payment posting, insurance verification, and authorization as well as medical coding. The role also oversees all aspects of commercial payor relations, contracting including the planned implementation of new/innovative payment model in addition to spearheading the M and divestiture agenda for urgent care, on-site clinic and digital care delivery. Primary Responsibilities: Directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum Reviews, designs and implements processes surrounding pricing, billing, third party payer relationships, compliance, collections and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized Monitors metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials Partner with leadership team to make certain that all operational revenue functions are aligned and optimized to meet or exceed customer requirements, maximize cash collections, and minimize cost to collect Work with operations team to drive process improvement initiatives through streamlining efficiencies and automating process, when applicable Tracks and monitors key revenue cycle performance indicators; reports key findings and influences the leadership team, other stakeholders within the organization to improve outcomes Ensure internal controls, policies and procedures are consistent state and federal law, compliance plans and HIPAA Spearheads the M and divestiture agenda for urgent care, on-site clinic and digital care delivery in collaboration with the Chief Finance Officer 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. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Required Qualifications: Bachelor's degree in Finance, Accounting, Business Administration or a related field 10+ years of leadership and management experience in a health care organization Demonstrated experience in a revenue cycle role at a large healthcare organization Expert understanding of healthcare billing to independent practice associations (IPAs), health maintenance organizations (HMOs) or other risk bearing entities Proven competency and senior operational leadership experience in a large, complex organization with multiple locations and matrix accountabilities Expert level of proficiency working in a fast-paced matrix organization with a proven track-record of managing, prioritizing, and delivering upon multiple programs Proven ability to effectively advocate and problem-solve as necessary to obtain desired outcomes and meet legal and regulatory requirements Well-developed written and verbal communication skills Poise and confidence necessary to influence and drive decisions with Executive Leadership Team Broad finance leadership expertise in M strategies and due diligence Knowledge of third-party payer regulations and policies related to revenue cycle operations Preferred Qualifications: Master's degree in Accounting, Finance, Business Administration or Healthcare Administration Managed Care contracting experience Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make healthcare 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 healthcare 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) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Colorado Residents Only: The salary range for Colorado residents is $169,500 to $322,500. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, in addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.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: Telecommute, Telecommuter, Telecommuting, Work from Home, Work at Home, Remote, Chief Revenue Officer, CDH and MedExpress, CRO

Chief Revenue Officer, CDH and MedExpress - Telecommute

UnitedHealth Group

Canonsburg Pennsylvania

United States

Executive Management

(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) The Chief Revenue Officer is responsible for revenue cycle management, payor relations, and contracting for Center for Digital Health and MedExpress. This role works collaboratively with the executive leadership team to provide strategic leadership and implementation of activities pertaining to patient and insurance collections, cash/payment posting, insurance verification, and authorization as well as medical coding. The role also oversees all aspects of commercial payor relations, contracting including the planned implementation of new/innovative payment model in addition to spearheading the M and divestiture agenda for urgent care, on-site clinic and digital care delivery. Primary Responsibilities: Directs and oversees the overall policies, objectives, and initiatives of an organization's revenue cycle activities to optimize the patient financial interaction along the care continuum Reviews, designs and implements processes surrounding pricing, billing, third party payer relationships, compliance, collections and other financial analyses to ensure that clinical revenue cycle is effective and properly utilized Monitors metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting. Manages relations with payers and providers to generate high reimbursement rates and a low level of denials Partner with leadership team to make certain that all operational revenue functions are aligned and optimized to meet or exceed customer requirements, maximize cash collections, and minimize cost to collect Work with operations team to drive process improvement initiatives through streamlining efficiencies and automating process, when applicable Tracks and monitors key revenue cycle performance indicators; reports key findings and influences the leadership team, other stakeholders within the organization to improve outcomes Ensure internal controls, policies and procedures are consistent state and federal law, compliance plans and HIPAA Spearheads the M and divestiture agenda for urgent care, on-site clinic and digital care delivery in collaboration with the Chief Finance Officer 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. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Required Qualifications: Bachelor's degree in Finance, Accounting, Business Administration or a related field 10+ years of leadership and management experience in a health care organization Demonstrated experience in a revenue cycle role at a large healthcare organization Expert understanding of healthcare billing to independent practice associations (IPAs), health maintenance organizations (HMOs) or other risk bearing entities Proven competency and senior operational leadership experience in a large, complex organization with multiple locations and matrix accountabilities Expert level of proficiency working in a fast-paced matrix organization with a proven track-record of managing, prioritizing, and delivering upon multiple programs Proven ability to effectively advocate and problem-solve as necessary to obtain desired outcomes and meet legal and regulatory requirements Well-developed written and verbal communication skills Poise and confidence necessary to influence and drive decisions with Executive Leadership Team Broad finance leadership expertise in M strategies and due diligence Knowledge of third-party payer regulations and policies related to revenue cycle operations Preferred Qualifications: Master's degree in Accounting, Finance, Business Administration or Healthcare Administration Managed Care contracting experience Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make healthcare 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 healthcare 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) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Colorado Residents Only: The salary range for Colorado residents is $169,500 to $322,500. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, in addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.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: Telecommute, Telecommuter, Telecommuting, Work from Home, Work at Home, Remote, Chief Revenue Officer, CDH and MedExpress, CRO