Optum · 17 hours ago
Director, Revenue Cycle Operations - Underpayments - Remote
United States
Full-time
Remote
Director/Executive
$135K/yr - $231K/yr
10+ years expOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Director of Revenue Cycle Operations will lead a multi-functional operational team, ensuring accuracy and compliance in underpayment operations while collaborating with internal teams and client leadership.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Lead and oversee the underpayment operations teams, ensuring accuracy, compliance, and timely resolution of accounts
Manage the review, investigation, and resolution of credit balances on patient and payer accounts
Monitor payer takebacks, identify improper takebacks, and escalate issues to drive resolution
Establish and maintain standardized, compliant workflows that improve consistency and operational efficiency
Build and maintain processes for proactive underpayment detection, including threshold-setting and exception reporting
Analyze trends to identify root causes of payer underpayments, systemic issues, and contract compliance gaps
Collaborate with Contracting and Payer Relations to resolve recurring payer related issues
Lead, develop, and track recovery initiatives executed by the underpayment team while systematically tracking, categorizing, and reporting underpayment recovery performance by payer, service line, and root cause
Develop, pilot, and optimize technologies and automation that support operational workflows
Monitor technology performance to ensure effective adoption, accuracy, and productivity enhancement
Collaborate across multiple internal functions to deliver programs and solutions supporting organizational goals
Influence and build strong relationships with senior leadership, executives, and external stakeholders
Foster a positive, transparent, and results oriented team environment
Qualification
Required
10+ years of Revenue Cycle Management experience with strong emphasis on expected reimbursement
7+ years interpreting payer policies, payer contracts and client contracts; payer-side experience preferred
5+ years across the end to end revenue cycle (registration through zero balance), including workflows, technology solutions, automation, reporting, payer processing, and payer behavior
5+ years in a leadership role overseeing a centralized business office supporting multiple clients, locations, or teams
5+ years leveraging operational metrics, analytics, and dashboards to drive performance
Experience influencing C Suite decisions
Experience with line item denials and payer policy management
Intermediate proficiency with Microsoft Office Suite (Word, PowerPoint, Excel, Outlook)
Advanced Excel capabilities, including pivot tables, complex formulas, and advanced filters
Ability to travel periodically
Preferred
Experience with coding guidelines and processes
Experience with trend and recovery within a multiple client environment
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase