Real-Time Settlement Payer Adoption 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.

The RTS Payer Adoption Consultant will play a critical role in connecting potential payers with our Real-Time Settlement (RTS) solution, ensuring successful partnership and implementation. This role combines strategic planning and project management skills to drive the adoption of RTS among payers, enhancing same-day liquidity and reducing administrative expenses in revenue cycle management. The consultant will align business operations with the company's mission and goals, researching and analyzing industry and competitive trends to identify emerging payer opportunities and strategic areas of interest. They will identify and prioritize product and service improvement opportunities, creating plans for implementation, and utilize comprehensive knowledge of the company's internal operations to develop a forward-looking focus for the business.

For RTS adoption and implementation, the consultant will engage payer teams to successfully implement and integrate within RTS. They will define project scope, identify and manage risks, allocate resources effectively, and facilitate project activities.

They will oversee project management, kick-off, design, configuration, process, testing, training, communication/status, and business case management for each payer. Managing payer development and integration, ensuring quality, speed, benefit realization, and provider and payer satisfaction are critical aspects of the role.

Collaboration and communication are essential, as the consultant they will provide subject matter expertise and facilitate effective communication and collaboration among stakeholders to ensure projects are completed on time and within scope, while achieving successful payer adoption and implementation outcomes.

Success in this role will be measured by the quality and speed of RTS implementation, realization of benefits for providers and payers, and high levels of provider and payer satisfaction.

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

Primary Responsibilities:

• Research and analyze industry and competitive trends to identify emerging market opportunities and strategic payers of interest
• Identify and prioritize product and service improvement opportunities, creating plans for implementation
• Utilize comprehensive knowledge of the company's internal operations to develop a forward-looking focus for the business
• Define project scope, identify and manage risks, allocate resources effectively, and facilitate project activities, ensuring projects are completed on time and within scope
• Provide subject matter expertise in project methodology and make presentations to management on project updates, project cycle, and expected results
• Engage payer teams and manage payer relationships to successfully implement RTS for available providers and medical services

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 the backend of the Revenue Cycle Management (RCM) process
• 4+ years working the adjudication process of the RCM (i.e. Claims experience, denial rates, etc.)
• 4+ years of strategic planning experience (reviewing data, performing analysis to make strategic decisions, etc.)
• 4+ years of client relationship management experience
• Specific insight and knowledge of the payer side

Preferred Qualifications:

• Certification in project management
• 2+ years of experience with healthcare practice management systems
• 2+ years of provider experience
• Experience working across UHG, Optum and UHC lines of businesses

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

The salary range for this role is $89,800 to $176,700 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 all 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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.