Sr Manager, Revenue Cycle Management Business Support - PST - Remote

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 in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. This position will support the execution of end-to-end revenue cycle service commitments for one of Optum's Health System partnerships. The role will continuously drive client revenue cycle performance improvement, as well as cost, productivity, and profitable goals. Success depends on driving efficiency, effective partnership, influence, and collaboration across various functions of Optum Insight ensuring initiatives and strategy are targeting delivery of world-class billing services, driving patient and customer commitment, and maximizing return through improved bad debt, cash realization, and cost efficiencies. This position is responsible for influencing change related to the key functions of Revenue Cycle through collaborative engagement with various matrixed teams to develop and support/lead initiatives that will achieve results while identifying gaps in client support/performance and proposing solutions (technology, services) to drive performance improvement. The Sr. Manager, RCM Business Support is a key operations leader who directly supports a client delivery organization within Optum's Market Performance Partnerships (MPP). The Sr. Manager is responsible for enabling the adoption of enterprise Revenue Cycle Management (RCM) standards, operating models, and performance improvement initiatives and supporting day-to-day management of operational and client demands. This role will support day-to-day operational needs across our RCM operations. The candidate will also support transformation initiatives, operational assessments, and lead implementation activities for Operations, RCM Centers of Excellence, Technology, Analytics, and Automation. The Sr. Manager will help monitor P&L performance, KPIs, and client satisfaction across all functions in Front, Middle, and Back Revenue Cycle Management (RCM), and thrive in a matrixed, global work environment to drive RCM cost, productivity, and performance. If you are located in PST time zone from anywhere within the U.S., you will have the flexibility to work remotely* as you take on some tough challenges.

Lead analysis of front-end, mid-cycle, and back-end revenue cycle operations to identify opportunities that improve reimbursement, cash collections, and overall financial performance Serve as a revenue cycle subject matter expert, partnering with operational leaders to resolve barriers impacting claim payment, account resolution, and revenue realization Drive CPI and KPI for continuous performance improvement initiatives through operational analysis, performance monitoring, and implementation of corrective actions Lead comprehensive denial management programs focused on identifying denial trends, quantifying financial impact, and reducing avoidable write-offs Perform detailed denial root cause analyses across patient access, authorization, medical necessity, payer policy, charge capture, billing, and claim submission processes Develop and implement denial prevention strategies, corrective action plans, and operational process improvements to improve first-pass payment rates and reduce denial volumes Oversee denial recovery efforts, including appeals prioritization, escalation strategies, payer issue resolution, and monitoring appeal success rates Analyze payer-specific denial and reimbursement trends to identify systemic issues, contract compliance concerns, and recovery opportunities Conduct A/R work