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 perks, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive perks 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.
Primary Responsibilities:
Outcome Ownership (Revenue & Performance Metrics)
Own and drive improvement in key RCM outcome metrics, including:
Cash collections / cash acceleration
AR days reduction
Denial rates & overturn rates
Gross Collection Rate (GCR) / Managed Net Collection Rate (MNCR)
Write-offs and revenue leakage reduction
Translate operational performance into measurable financial outcomes
Build solid visibility and governance around metric performance, trends, and drivers.
Back-Office Operations Leadership: Lead large-scale back-office RCM functions (AR follow-ups, denials, payment posting, coding support, adjustments)
Ensure high performance on:
Productivity
Quality
SLA adherence
Drive operational rigor and standardization to support consistent delivery of outcomes
Closed-Loop Feedback with Front & Mid Office
Actively collaborate with front-end and mid-cycle teams to address upstream issues impacting back-end outcomes
Establish and drive a closed-loop feedback mechanism to:
Identify root causes of denials, rejections, and delays
Fix process gaps at source (eligibility, authorization, coding, billing)
Influence cross-functional stakeholders to improve first-time-right rates and reduce rework
RCM Domain Expertise & Insight-Led Problem Solving
Leverage deep understanding of the end-to-end RCM lifecycle to diagnose systemic issues
Use da
📌 Associate Director Hyderabad
🏢 Optum
📍 Hyderabad
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