Vice President of Revenue Cycle
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The VP Revenue Cycle is primarily responsible for developing, overseeing, monitoring and managing the Company's eligibility, authorization, billing and cash collection processes. This person is responsible for the day-to-day operations in the Revenue Cycle Department, including: developing strategies to improve procedural efficiencies in the Department, establishing a stable organization structure, and evaluating personnel to ensure optimal performance. This person is expected to establish a culture of collaboration, continuous improvement, and commitment to serving stakeholders with high quality and efficiency.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. In office is preferred, at any of our Home Office locations - Louisville, Lafayette, Baton Rouge, and Maryland. 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:
- Strategic leadership
- Develop and execute an enterprise-wide revenue cycle strategy that aligns with overall business objectives and ensures long-term financial health
- Identify and implement best-in-class revenue cycle management processes and technologies, including automation and data analytics, to increase efficiency and collections
- Maintain existing and, as needed, develop new key performance indicators (KPIs) such as cash collections rates and days in accounts receivable (A/R), and create dashboards to drive performance transparency and accountability across all levels
- Financial performance and optimization
- Oversee the entire home health, hospice, personal care, and part B revenue cycle, including eligibility, authorization, charge capture, billing, collections, and AR management
- Direct the development of AR processes to analyze root causes, reduce claim denials, and maximize cash collections
- Support enterprise strategy by assessing reimbursement impact to forecast net revenue and inform strategic initiatives like service line expansions or shifts in care
- Regulatory compliance
- Ensure full compliance with all federal, state, and payer-specific regulations, including Medicare, Medicaid, and HIPAA
- Stay up-to-date on regulatory changes affecting home health billing and reimbursement to proactively adapt company strategy
- Establish and monitor internal controls to safeguard revenue integrity and support accurate financial reporting
- Team leadership and development
- Build, lead, and mentor a high-performing revenue cycle team, promoting a culture of continuous improvement
- Manage team performance by providing regular feedback, conducting performance reviews, and supporting professional development
- Oversee hiring, training, and workflow planning within the revenue cycle department to ensure proper staffing and quality standards
- Cross-functional collaboration
- Partner with clinical operations, quality, managed care, and finance teams to identify issues and optimize the overall revenue cycle
- Collaborate with the Chief Information Officer and IT teams to identify and implement long-term technology solutions
- Serve as part of the approval process for new payor agreements, ensuring ability to collect under the terms of the agreement(s)
- Support the Corporate Development strategy of the enterprise by working with internal and external teams to support integration of new acquisitions and any divestitures requiring continued revenue cycle support
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 in business or related field
- Five years management experience and five years health care billing experience, or similar consulting experience
- Extensive experience with revenue cycle management (RCM) and electronic health record (EHR) systems used in home health is essential
- Knowledge of rules and regulations governing third party payors
- Knowledge of Generally Accepted Accounting Principles (GAAP)
Preferred Qualifications:
- Masters Degree
- Strategic thinking: Ability to translate high-level business goals into actionable RCM initiatives
- Financial acumen: Solid understanding of financial models, budgeting, and performance metrics
- Analytics: Proficiency in data analysis to identify trends and drive operational improvements
- Leadership: Proven ability to build and lead large teams through periods of growth and transformation
- Communication and influence: Exceptional executive presence and the ability to work effectively with diverse stakeholders
- Adaptability: Capacity to adapt to the ever-changing regulatory and payer landscape in healthcare
*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 $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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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.
OptumCare 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Perks and Benefits
Health and Wellness
- HSA
- On-Site Gym
- HSA With Employer Contribution
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
Parental Benefits
- Non-Birth Parent or Paternity Leave
- Birth Parent or Maternity Leave
Work Flexibility
- Remote Work Opportunities
Office Life and Perks
- Commuter Benefits Program
Vacation and Time Off
- Leave of Absence
- Personal/Sick Days
- Paid Holidays
- Paid Vacation
Financial and Retirement
- Relocation Assistance
- Performance Bonus
- Stock Purchase Program
- 401(K) With Company Matching
- 401(K)
Professional Development
- Promote From Within
- Shadowing Opportunities
- Access to Online Courses
- Tuition Reimbursement
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
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