Manager, Payer Solutions - Remote

UnitedHealth Group•Phoenix, AZ

11h•$91,700 - $163,700•Remote

About The Position

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. The Manager of Payer Solutions is responsible for leading a team focused on payer strategy, escalation management, and resolution of complex reimbursement issues across the revenue cycle. This role partners closely with operations, analytics, and client stakeholders to optimize payer performance, reduce aged accounts receivable, and improve cash outcomes. 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.

Requirements

5+ years of experience in Revenue Cycle operations
5+ years of experience reading and interpreting understanding explanation of benefits perspective
2+ years of people management/leadership experience
2+ years of client facing presentation experience
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Candidates are required to pass a drug test before beginning employment.

Nice To Haves

Experience with practice management systems (i.e. MS4, Invision, EPIC, STAR, eFR)
Basic understanding of payer behaviors, using to trend and identify opportunities and inefficiencies
Solid proficiency with Excel (formulas and Pivot Tables)

Responsibilities

Lead and develop a team of payer solutions analysts, providing direction, oversight, and performance management
Drive payer-specific strategies, including escalation workflows, issue resolution, and relationship management
Partner with revenue cycle operations and analytics teams to prioritize accounts and leverage data-driven insights
Establish and maintain standardized processes for payer engagement and escalations
Monitor key performance indicators (KPIs) related to AR, denials, and cash collections
Collaborate with internal and external stakeholders to ensure consistent communication and alignment with payer strategies
Support executive reporting and contribute to overall revenue cycle performance improvement initiatives