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Revenue Assurance SME - Remote
full-timePlymouth$72k - $130k

Summary

Location

Plymouth

Salary

$72k - $130k

Type

full-time

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About this role

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

 

The Revenue Assurance SME is primarily responsible for the development, maintenance, communication, and audit functions of a standard, regulatory-focused Corporate Charge Description Master (CDM). The Optum Corporate Standard is built and maintained with a strict compliance-centric focus on the contained information but is designed to be versatile and creative in its use. The position works in a collaborative team environment to provide value to customers both internal and external to Optum 360.

 

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

  • Audit the Corporate Standard CDM/client CDMs to ensure compliance with regulatory agencies and applicable policies
  • Thinks outside the box to discover and present new ways to utilize and analyze large and complex datasets
  • Uses data visualization techniques to drive collaborative, data-driven decision making with Optum and Client leadership
  • Makes decisions that require significant analysis and investigation with solutions requiring original thinking
  • Maintains current knowledge in applicable rules and regulations and disseminates relevant information to clients and other areas of the Revenue Cycle
  • Interacts with leadership, department managers and regional facility staff members regarding alignment and adherence to corporate standard, regulatory compliance, and reimbursement issues
  • Responds to customer inquiries professionally and can analyze revenue cycle questions and issues to resolution
  • Ability to prioritize workload and balance numerous projects simultaneously while delivering timely results
  • Creates and effectively delivers regulatory guidance and educational materials to internal and external customers
  • Take initiative to identify system and / or operational problems and participate in the development of solution for improvement to billing functions for client facilities
  • Serves as a resource to EHR / implementation project team members
  • Demonstrate flexibility and willingness to support the changing needs and priorities of the department and organization

 

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:

  • Revenue Cycle related credential of any type (AAPC, AHIMA, HFMA, NAHRI etc.) or the ability to obtain within the first 12 months of employment
  • 3+ years of experience in Medicare/CMS Regulatory Guidance
  • 3+ years of work experience in a health care environment with focus in billing, coding, revenue cycle process, compliance, or CDM type work
  • 3+ years of experience understanding and employing fundamental concepts, practices, and procedures relating to healthcare facilities and their operations
  • 3+ years of experience with financial and regulatory risk involving facility and professional charging practices
  • 3+ years of experience of business operations and in-house business systems
  • Proven advanced understanding and capabilities in Microsoft Excel
  • Proven ability to communicate analysis, including trends and opportunities to clients and the business both verbally and through writing/visualization
  • Proven solid problem-solving skills with a structured, process-oriented approach
  • Proven expertise in continuous process improvement and root cause analysis
  • Proven ability to manage multiple tasks, set priorities, scheduling, and meet deadlines

 

Preferred Qualifications:

  • Certification or extensive experience with Excel VBA Analytics
  • Extensive knowledge of MS programs e.g., Word, Access, PowerPoint, Loop
  • Knowledge of Epic, Cerner, or other Clinical/Financial systems

 

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 $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.

Other facts

Tech stack
Revenue Cycle,Regulatory Compliance,Data Analysis,Data Visualization,Problem Solving,Process Improvement,Microsoft Excel,Communication,Billing,Coding,Healthcare Operations,Financial Risk,Client Interaction,Educational Material Creation,EHR Systems,Operational Improvement

About UnitedHealth Group

UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.

We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.

Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.

We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.

At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.

Click below to search careers or join our social communities:

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More about UnitedHealth Group can be found at unitedhealthgroup.com/

Team size: 10,001+ employees
LinkedIn: Visit
Industry: Hospitals and Health Care

What you'll do

  • The Revenue Assurance SME is responsible for the development, maintenance, communication, and audit functions of a Corporate Charge Description Master (CDM). This role involves auditing compliance, analyzing datasets, and providing regulatory guidance to internal and external customers.

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Frequently Asked Questions

What does UnitedHealth Group pay for a Revenue Assurance SME - Remote?

UnitedHealth Group offers a competitive compensation package for the Revenue Assurance SME - Remote role. The salary range is USD 73k - 130k per year. Apply through Clera to learn more about the full compensation details.

What does a Revenue Assurance SME - Remote do at UnitedHealth Group?

As a Revenue Assurance SME - Remote at UnitedHealth Group, you will: the Revenue Assurance SME is responsible for the development, maintenance, communication, and audit functions of a Corporate Charge Description Master (CDM). This role involves auditing compliance, analyzing datasets, and providing regulatory guidance to internal and external customers..

Why join UnitedHealth Group as a Revenue Assurance SME - Remote?

UnitedHealth Group is a leading Hospitals and Health Care company. The Revenue Assurance SME - Remote role offers competitive compensation.

Is the Revenue Assurance SME - Remote position at UnitedHealth Group remote?

The Revenue Assurance SME - Remote position at UnitedHealth Group is based in Plymouth, England, United Kingdom. Contact the company through Clera for specific work arrangement details.

How do I apply for the Revenue Assurance SME - Remote position at UnitedHealth Group?

You can apply for the Revenue Assurance SME - Remote position at UnitedHealth Group directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about UnitedHealth Group on their website.