RCM Business Process Consultant – Remote

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

 

Our business unit collaborates with clients and operational teams to enhance performance across all areas of Revenue Cycle Management (RCM). This includes improving operational workflows and automating processes to increase staff efficiency, provide revenue enhancements, and add C&P value to clients and departments. Additionally, we offer strategic alignment and process optimization across Front, Middle, and Back operations, ensuring continuous improvement through various types of automation.

 

In this role, you will be responsible for analyzing, designing, and implementing process improvements and automation tools within an acute and ambulatory information healthcare organizations to enhance operational efficiency, patient care, and overall service quality. You will work closely with healthcare professionals, administrators, and other stakeholders to identify areas for improvement, develop strategies, and implement solutions that drive measurable results. Your expertise in process improvement methodologies, such as Lean, Six Sigma, and other quality management frameworks, will be crucial in guiding organizations through change and ensuring sustainable improvements.

 

The ideal candidate will have a strong background in healthcare operations, excellent analytical skills, and the ability to communicate effectively with diverse teams. You will be expected to stay current with industry trends and best practices, and to apply this knowledge to help organizations navigate the complexities of the healthcare environment. This role requires a proactive approach, a passion for improving healthcare delivery, and a commitment to achieving excellence in patient outcomes.

 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

 

Primary Responsibilities:

• Analyze current healthcare processes and identify areas for improvement
• Develop and implement process improvement strategies using Lean, Six Sigma, and other methodologies
• Collaborate with healthcare professionals and administrators to understand their needs and challenges
• Monitor and evaluate the effectiveness of implemented changes
• Prepare detailed reports and presentations on findings and recommendations
• Ensure compliance with healthcare regulations and standards
• Use data analysis tools to track performance metrics and identify trends
• Provide ongoing support and guidance to operations teams during the implementation phase
• Stay updated on industry trends and best practices in healthcare process improvement
• Develop and maintain strong relationships with clients and stakeholders
• Assist in the development of policies and procedures to support process improvements
• Conduct root cause analysis to identify underlying issues affecting performance
• Create and manage project plans to ensure timely completion of improvement initiatives
• Advise on the integration of new technologies to enhance process efficiency
• Coordinate with IT partners and vendors to implement process automation solutions
• Ensure that all process improvements align with the organization’s strategic goals

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 Management and/or Contact Center healthcare process improvement
• 3+ years of experience with Process improvement methodologies, such as Lean, Six Sigma
• 3+ years of experience in Project Management, managing multiple projects, utilizing MS Project or similar tools
• Solid understanding of healthcare operations and regulations
• Experience with data analysis and performance metrics
• Proficiency in process mapping and workflow analysis tools
• Facilitating calls and meetings
• Knowledge of healthcare information systems and technology
• Experience in change management and stakeholder engagement
• Proficient in Microsoft 365 core applications

 

Preferred Qualifications:        

• Experience in facilitating training sessions and workshops
• RCM background, in an Acute setting
• Ability to work independently and as part of a team
• Exceptional communication and interpersonal skills
• Excellent analytical and problem-solving skills
• Solid organizational skills and attention to detail
• Ability to adapt to changing environments and priorities

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

 

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.