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Payer Software Adoption Consultant - Remote

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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 RTS Payer Adoption Consultant will play a critical role in connecting potential payers with our Real-Time Settlement (RTS) solution, ensuring successful partnership and implementation. This role combines strategic planning and project management skills to drive the adoption of RTS among payers, enhancing same-day liquidity and reducing administrative expenses in revenue cycle management. The consultant will align business operations with the company's mission and goals, researching and analyzing industry and competitive trends to identify emerging payer opportunities and strategic areas of interest. They will identify and prioritize product and service improvement opportunities, creating plans for implementation, and utilize comprehensive knowledge of the company's internal operations to develop a forward-looking focus for the business. For RTS adoption and implementation, the consultant will engage payer teams to successfully implement and integrate within RTS. They will define project scope, identify and manage risks, allocate resources effectively, and facilitate project activities. They will oversee project management, kick-off, design, configuration, process, testing, training, communication/status, and business case management for each payer. Managing payer development and integration, ensuring quality, speed, benefit realization, and provider and payer satisfaction are critical aspects of the role. Collaboration and communication are essential, as the consultant they will provide subject matter expertise and facilitate effective communication and collaboration among stakeholders to ensure projects are completed on time and within scope, while achieving successful payer adoption and implementation outcomes. Success in this role will be measured by the quality and speed of RTS implementation, realization of benefits for providers and payers, and high levels of provider and payer satisfaction. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

Research and analyze industry and competitive trends to identify emerging market opportunities and strategic payers of interest
Identify and prioritize product and service improvement opportunities, creating plans for implementation
Utilize comprehensive knowledge of the company's internal operations to develop a forward-looking focus for the business
Define project scope, identify and manage risks, allocate resources effectively, and facilitate project activities, ensuring projects are completed on time and within scope
Provide subject matter expertise in project methodology and make presentations to management on project updates, project cycle, and expected results
Engage payer teams and manage payer relationships to successfully implement RTS for available providers and medical services

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:

5+ years of the backend of the Revenue Cycle Management (RCM) process
4+ years working the adjudication process of the RCM (i.e. Claims experience, denial rates, etc.)
4+ years of strategic planning experience (reviewing data, performing analysis to make strategic decisions, etc.)
4+ years of client relationship management experience
Specific insight and knowledge of the payer side

Preferred Qualifications :

Certification in project management
2+ years of experience with healthcare practice management systems
2+ years of provider experience
Experience working across UHG, Optum and UHC lines of businesses

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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. 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. by Jobble

Optum Glassdoor Company Review

3.7

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CEO of Optum

Andrew Witty

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Average salary estimate

$133250 / YEARLY (est.)

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$89800K

$176700K

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What You Should Know About Payer Software Adoption Consultant - Remote, Optum

As a Payer Software Adoption Consultant with Optum, you’ll be diving into a role that blends strategic thinking and project management to make an impact in healthcare. Here, your expertise will directly enhance health outcomes by guiding payers through the adoption of our Real-Time Settlement (RTS) solution. Imagine being at the forefront of innovation, helping to connect payers and providers while ensuring they have the support they need to implement RTS successfully. You will be conducting in-depth research and analysis to uncover new market opportunities, collaborating with your talented peers, and using your extensive knowledge of revenue cycle management to ensure swift and effective integration. Your responsibilities will include defining project scope, managing risks, and facilitating all aspects of project activities, from design to training. You’ll have the incredible flexibility to work remotely from anywhere in the U.S., making it an ideal opportunity for those seeking work-life balance while tackling meaningful challenges. At Optum, we foster a culture of diversity and inclusion, where you’ll find ample career development opportunities and a supportive environment to grow your skills. Success in this role is all about the quality and speed of implementation, and being the critical link between payers and our innovative solutions. Join us to make a tangible difference in health equity and help countless individuals access the care they need. Are you ready to become a vital part of our mission with Optum?

Frequently Asked Questions (FAQs) for Payer Software Adoption Consultant - Remote Role at Optum

What are the primary responsibilities of a Payer Software Adoption Consultant at Optum?

The Payer Software Adoption Consultant at Optum primarily focuses on engaging potential payers to implement the Real-Time Settlement (RTS) solution. Responsibilities include conducting market research, identifying improvement opportunities, defining project scope, managing risks, overseeing project management, and ensuring payer satisfaction through effective integration.