Epic Clarity Revenue Cycle Lead - 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 Revenue Cycle Analytics Transformation Lead is responsible for supporting the analytics team in the initial engagement of new client implementations. This position will be responsible for engaging with both internal and external stakeholders related to the development and validation of performance measurements for new clients. The qualified candidate for this position is a naturally curious, self-motivated and a problem solver. The position is responsible for providing analysis and data compilation on business needs. The position is responsible for developing clear documentation and action plans to create metric definitions, calculations and reporting. This is an analytical role with the primary focus of providing transformation support for new client implementations in analytics, managing contract metric requirements and interim operational reporting needs.

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

Primary Responsibilities:

• Project responsibilities may include:
  • Analyzing large data sets and identifying and interpreting patterns and trends in the data
  • Managing multiple client-related priorities concurrently and addressing issues accordingly
  • Communicating project status regularly with manager
  
  
• Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution)
• Decision support and analytics
• Knowledge in all areas of revenue cycle operations which includes:
  • Patient access (scheduling, pre-registration, insurance verification, financial counseling)
  • Registration/Admission (ED, inpatient, outpatient, ambulatory)
  • Health Information Management (transcription, coding, clinical documentation improvement)
  • Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution)
  • Decision support and analytics
  • Productivity and quality management
• Patient access (scheduling, pre-registration, insurance verification, financial counseling)
• Assist team leaders with special projects and priority analysis assignments
• Understand and represent Optum Business Intelligence and services and how they will improve partner operations
• Complete requirement documentation for all service level performance metrics
  • Understand and represent Optum Business Intelligence and services and how they will improve partner operations
  • Assist team leaders with special projects and priority analysis assignments
  • Effective at working at both a data detail level and a strategic thinking level
  • Able to prioritize and manage multiple tasks and projects simultaneously
  • Project responsibilities may include:
    • Analyzing large data sets and identifying and interpreting patterns and trends in the data
    • Managing multiple client-related priorities concurrently and addressing issues accordingly
    • Communicating project status regularly with manager
    
    
• Complete Ad-hoc data request on an as needed to basis to support new client engagement initiative across all pillars of an engagement
• Effective at working at both a data detail level and a strategic thinking level
• Health Information Management (transcription, coding, clinical documentation improvement)
• Analyzing large data sets and identifying and interpreting patterns and trends in the data
• Clarity Report Writer to create design specifications for new reports and identify and validate the appropriate technological solutions for various reporting needs
• Communicating project status regularly with manager
• Managing multiple client-related priorities concurrently and addressing issues accordingly
• Able to prioritize and manage multiple tasks and projects simultaneously
• Gather data from Epic or other Patient Accounting Systems to support performance measurement baselining and trending to assist with the development of service level targeting
• Develop and support interim service level performance reporting for new client engagements
• Understand key revenue cycle metrics and performance indicators and provide reporting of operational and financial performance
• Registration/Admission (ED, inpatient, outpatient, ambulatory)
• Able to communicate effectively (written and verbal) findings and root cause analysis to support operation and financial decisions
• Productivity and quality management
• Provides technical direction, guidance and assistance during project development and accomplish all required formal signoffs

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:

• 3+ years in a revenue cycle healthcare setting
• Proven ability to collaborate across organization pillar teams
• Proficient in Microsoft Excel, PowerPoint, and Word
• Bachelor’s Degree in Business, Finance, Healthcare or equivalent work experience
• Solid SQL experience-ability to write SQL code from scratch and query data
• Current/active Epic Revenue Data Model Certification
• 2+ years experience with Epic applications and Clarity database structure
• 3+ years of analyzing data to identify trends and issues

Preferred Qualifications:

• Demonstrates a high degree of self-motivation, versatility, and flexibility
• Proven solid analytical and organizational skills
• Leadership experience
• Proven intuitive and skilled at problem solving
• Demonstrated excellent interpersonal, written, and verbal communication skills
• Proven ability to work in a fast paced and deadline driven environment

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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

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.