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Optum Revenue Cycle Jobs (NOW HIRING)

$39.27 - $64.80/hr

Job Summary and Responsibilities As our Revenue Cycle CDI Specialist, you will serve as a vital ... EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech) Registered Health Information ...

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient ... Support Accounting, Financial Operations, and Revenue Cycle with development, implementation, and ...

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Optum Revenue Cycle information

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$39.5K

$120.2K

$198.5K

How much do optum revenue cycle jobs pay per year?

As of Aug 10, 2026, the average yearly pay for optum revenue cycle in the United States is $120,205.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Optum Revenue Cycle specialist?

To thrive as an Optum Revenue Cycle specialist, you need a solid understanding of healthcare billing, insurance claims processing, and revenue cycle management, often supported by a relevant degree or experience in medical billing or healthcare administration. Familiarity with electronic health record (EHR) systems, revenue cycle management platforms (such as Epic or Cerner), and knowledge of ICD-10/CPT coding is typically required. Strong attention to detail, analytical thinking, and effective communication skills help specialists resolve discrepancies and collaborate with clinical and administrative teams. These skills are essential to ensure accurate, timely reimbursement for healthcare services and maintain the financial health of the organization.

What is Optum Revenue Cycle?

Optum Revenue Cycle refers to the suite of solutions and services provided by Optum, a health services and innovation company, to help healthcare organizations manage their revenue cycle. This includes processes such as patient registration, insurance verification, medical billing, claims processing, and payment collection. The goal is to improve financial performance, reduce administrative burden, and enhance patient experience by streamlining the entire revenue cycle. Optum uses advanced technology and data analytics to optimize these processes for healthcare providers.

What is the difference between Optum Revenue Cycle vs Medical Billing Specialist?

AspectOptum Revenue CycleMedical Billing Specialist
CredentialsRelevant certifications (e.g., CPC, CPC-H)Typically certified or trained in billing procedures
Work EnvironmentHealthcare organizations, insurance companies, outsourcing firmsMedical offices, hospitals, billing companies
Employer & IndustryMajor healthcare providers, insurance companies, revenue cycle management firmsMedical practices, clinics, billing service providers
Job FocusManaging entire revenue cycle processes including billing, collections, and claimsProcessing and submitting medical claims, coding, and payment posting

Optum Revenue Cycle professionals oversee the full revenue cycle, including billing, collections, and claims management, often working in large healthcare organizations or outsourcing firms. Medical Billing Specialists focus primarily on submitting claims and ensuring payments, typically working within medical practices or billing companies. While both roles require billing and coding knowledge, Optum Revenue Cycle roles involve broader responsibilities across the revenue process.

What are some common challenges faced by professionals in Optum Revenue Cycle roles, and how can they be addressed?

Professionals in Optum Revenue Cycle roles often encounter challenges such as managing complex billing procedures, staying updated with frequently changing healthcare regulations, and ensuring timely collection of payments. Addressing these challenges requires strong attention to detail, continuous learning about healthcare compliance, and effective communication with both internal teams and external payers. Utilizing robust revenue cycle management software and collaborating closely with team members can also help streamline workflows and minimize errors.
More about Optum Revenue Cycle jobs
What cities are hiring for Optum Revenue Cycle jobs? Cities with the most Optum Revenue Cycle job openings:
What states have the most Optum Revenue Cycle jobs? States with the most job openings for Optum Revenue Cycle jobs include:
Infographic showing various Optum Revenue Cycle job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $120,205 per year, or $57.8 per hour.

Vice President, Product - Pharmacy Network & Revenue Cycle | Prairie, |

Reliant Medical Group

Remote

Other

Retirement

Posted 7 days ago


Reliant Medical Group rating

7.3

Company rating: 7.3 out of 10

Based on 26 frontline employees who took The Breakroom Quiz


Job description

Vice President, Product - Pharmacy Network & Revenue Cycle Management (RCM)

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 Vice President, Product - Pharmacy Network and Pharmacy Revenue Cycle Management (RCM) is responsible for executive leadership of Optum's Pharmacy Network and Pharmacy RCM product portfolio. This leader will own end-to-end product strategy, roadmap development, execution, and lifecycle management for solutions supporting retail, specialty, outpatient, and medical-adjacent pharmacy workflows. Responsibilities include oversight of claims routing, eligibility, billing, edits, electronic prior authorization (ePA), and related network and revenue cycle capabilities.

This role provides strategic leadership for platform modernization initiatives, API-driven product capabilities, regulatory readiness, revenue integrity, operational excellence, and scalable growth. The Vice President will partner across Product, Engineering, Operations, Compliance, Sales, Account Management, and Finance to deliver high-performing solutions that meet customer and market needs.

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:
  • Own the vision, strategy, roadmap, and execution for Pharmacy Network and Pharmacy Revenue Cycle Management products
  • Lead a portfolio supporting pharmacy network operations, claims processing, eligibility services, billing, edits, ePA, and related pharmacy technology solutions
  • Drive modernization of legacy and emerging platforms, including API-enabled capabilities and scalable product architectures
  • Ensure operational excellence, revenue integrity, system reliability, and regulatory compliance across the product portfolio
  • Partner with Engineering and Technology leaders to prioritize investments, enhance platform capabilities, and accelerate product delivery
  • Collaborate with Operations, Compliance, Sales, Account Management, and Finance stakeholders to align product investments with business priorities and customer requirements
  • Lead major product launches, platform enhancements, and operational readiness activities
  • Build and develop high-performing teams of Directors, Product Managers, Technical Program Managers, and emerging leaders
  • Establish performance metrics and accountability frameworks that support growth, customer satisfaction, operational efficiency, and financial performance
  • Represent the product organization with senior executives, customers, strategic partners, and industry stakeholders

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:
  • Bachelor's degree or equivalent experience
  • 10+ years of progressive leadership experience in product management, healthcare technology, pharmacy technology, revenue cycle management, or related healthcare services
  • Experience leading large cross-functional product organizations
  • Demonstrated success developing and executing enterprise product strategies
  • Experience partnering with technology, operations, compliance, and commercial organizations
  • Proven ability to manage complex, highly regulated products and services
  • Experience leading strategic initiatives across multiple business functions
  • Solid executive communication, stakeholder management, and organizational leadership skills
Preferred Qualifications:
  • Advanced degree in Business, Healthcare Administration, Pharmacy, Technology, or a related field
  • Pharmacy, PBM, claims processing, healthcare transactions, network management, or revenue cycle management experience
  • Experience managing large-scale platform modernization efforts
  • Knowledge of healthcare regulatory requirements and compliance frameworks
  • Experience managing significant revenue-generating products and portfolios
  • Experience working with national health plans, providers, pharmacies, or healthcare technology organizations

*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 $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.


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