Remote Associate Director, Clinical Operations (IBR)

Taleo; Plymouth (MN); Remote; USD 113,000 - 193,000; Full time

Job summary

UnitedHealth Group is seeking an Associate Director of Clinical Operations – Itemized Bill Review (IBR) for a remote role in the U.S. This senior clinical leader will manage IBR operations for UnitedHealthcare and commercial payer clients, directing clinical review strategies and ensuring CMS compliance.

The role requires RN licensure, 5+ years in healthcare revenue cycle or related area, and 1+ year of leadership experience.

Qualifications

• Active, unrestricted RN license.
• 5+ years in healthcare revenue cycle, payment integrity, or related operations.
• 2+ years reviewing inpatient/outpatient facility claims.
• 1+ year leading clinical staff and cross-functional initiatives.

Responsibilities

• Lead day-to-day clinical operations for pre- and post-payment facility reviews.
• Develop and mentor clinical leaders to meet productivity, quality and financial goals.
• Ensure reviews are compliant, defensible and clinically sound.
• Partner with product/technology teams to enhance review capabilities.

Skills

RN license

Clinical leadership

CMS guidelines

Healthcare revenue cycle

Payment integrity

Client communication

Strategic thinking

Education

Registered Nurse degree

Job description

UnitedHealth Group is seeking an Associate Director of Clinical Operations – Itemized Bill Review (IBR) for a remote role in the U.S. This senior clinical leader will manage IBR operations for UnitedHealthcare and commercial payer clients, directing clinical review strategies and ensuring CMS compliance.

The role requires RN licensure, 5+ years in healthcare revenue cycle or related area, and 1+ year of leadership experience.