Optum Logo

Optum

RCM Coding/CDI Strategic Value Advisor - Remote

Posted 3 Hours Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in Washington, DC
92K-164K Annually
Senior level
In-Office or Remote
Hiring Remotely in Washington, DC
92K-164K Annually
Senior level
Serve as a remote advisor driving revenue cycle management (RCM), coding and clinical documentation improvement (CDI) improvements. Lead client design sessions, analyze financial and operational data, recommend optimizations, increase solution adoption, present executive summaries, and collaborate with cross-functional teams to implement best practices and achieve measurable outcomes.
The summary above was generated by AI
Requisition Number: 2357391
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.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Maintain and develop a high degree of expertise in revenue cycle operations, technical processes, and reports
  • Meet with customers to determine areas of focus to maximize their investment
  • Lead design sessions with customers to determine goals and objectives resulting in the assembly of a framework for effectively implementing and utilizing RCM solutions into the customer's operations
  • Analyze and communicate financial and operational data to clients for decision-making and strategic planning as a result of design, assessment / health check and/or optimization during a transformation engagement
  • Execute on plan to increase customer adoption of solutions to achieve desired outcomes
  • Provide best practices on usage of the RCM Solutions owned and ability to position other solutions to achieve maximum outcomes
  • Utilize keen problem-solving skills to drive positive outcomes for the customer
  • Work closely with cross functional project team on all aspects of each project to ensure milestones are met according to the project plan
  • Provide and present executive summary presentations based on recommendations and findings which may include monthly reports regarding progress of engagement reflecting trend in achieving outcomes
  • Collect and analyze customer utilization data to identify opportunities for increased adoption
  • In conjunction with Client Management work with staff at all levels of a customer organization, including director, VP, and C-suite for implementation design sessions to proactive reviews of utilization
  • Be involved with Sales, Client Management, Customer Care, Education and Product Management where appropriate to aid in client success
  • Develop and refine internal team processes for maximum efficiency and success

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:
  • 5+ years with strong Middle Revenue experience
  • 5+ years of experience working in Inpatient/outpatient Coding departments
  • Knowledge and experience in organizational effectiveness and operations management implementing best practices
  • Identifies and proposes resolutions for systems issues or changes to Product Management for possible enhancements
  • Gather critical information from client, internal departments, effectively negotiate and resolve all issues relative to the solution design and timing of deliverables driving value outcomes
  • Analyze payer trends, internal revenue cycle reports, productivity measures, etc., to identify issues and effect appropriate change
  • Proven to possess the ability to drive change and effectively manage communication with internal and external stakeholders
  • Proven ability to achieve results in a production/quality driven environment
  • Proven solid project delivery methodology skills
  • Proven ability to work independently and as part of a collaborative group
  • Proven excellent computer skills and proficient in Excel, Word, Outlook, and PowerPoint

Preferred Qualifications:
  • 5+ years of experience in at least three of the following:
    • Consulting experience
    • Client management experience
    • Project management experience
    • Experience working in the health care industry
    • Experience presenting to senior executive level audience
    • Experience facilitating training sessions
    • Demonstrable analytical reasoning or quantitative analysis
  • CDI experience
  • Power BI and BI analytics experience

*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 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.

Similar Jobs at Optum

2 Days Ago
In-Office or Remote
159K-273K Annually
Senior level
159K-273K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Lead go-to-market and growth for the Revenue Cycle Management product portfolio. Define pricing, packaging, launch and lifecycle strategies, align cross-functional teams, build data-driven growth engines, and drive adoption, expansion, retention, and revenue outcomes while partnering with product, sales, marketing, and customer success.
16 Days Ago
In-Office or Remote
113K-193K Annually
Senior level
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Senior Consultant will evaluate clinical measures, develop testing protocols, lead business development efforts, and manage project teams while mentoring peers.
Top Skills: Administrative DataClaims DataData AnalysisElectronic Health RecordsHealth RecordsHealth Services Research
23 Days Ago
In-Office or Remote
113K-193K Annually
Senior level
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Senior Consultant will lead payment model implementation, client relationships, analytics, and policy analysis, mentoring staff and producing deliverables.
Top Skills: DatabricksPythonRSASSnowflakeSQL

What you need to know about the Boston Tech Scene

Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.

Key Facts About Boston Tech

  • Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
  • Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
  • Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
  • Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account