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 to start
Caring. Connecting. Growing together.
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.
Primary 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
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 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
Preferred Qualifications:
- 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)
*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 to $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.
