Revenue Cycle Senior Compliance Analyst - Remote

UnitedHealth Group; Eden Prairie (MN); Remote; Confidential; Full time

Job summary

UnitedHealth Group is seeking a highly skilled Revenue Cycle Senior Compliance Analyst to support compliance monitoring, data analysis, and regulatory research. The role involves conducting in-depth account reviews and analyzing compliance issues, requiring strong analytical and communication skills. Ideal candidates will have significant experience in hospital revenue cycle operations and proficiency in healthcare systems like Epic, Meditech, and Cerner.

Benefits

Comprehensive benefits package

Remote work opportunity

401k contribution

Incentive and recognition programs

Qualifications

• Significant experience reviewing and analyzing claims, billing, and reimbursement data.
• Expertise in researching Federal and State regulations for compliance.
• Exceptional ability to analyze complex datasets and translate findings into actionable insights.

Responsibilities

• Conduct detailed account reviews to validate compliance with laws and regulations.
• Analyze complex data sets to uncover potential compliance risks.
• Maintain knowledge of healthcare regulations, particularly Medicare-related requirements.

Skills

Analyzing claims

Compliance monitoring

Data analysis

Communication

Project management

Tools

Epic

Meditech

Cerner

Job description

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.

Quality at UnitedHealth Group means striving for excellence in everything we doin order tohelp us achieve our Mission. Simply put,it’sinour DNA and whywe’rein business - to help people.Our Mission serves as ourwhy;ourValuesunite us aroundhow we willachieve it. Because when we follow our Mission and live our Values, we deliver Quality.

We are seeking a highly skilled and detail-oriented Revenue Cycle Senior Compliance Analyst to support compliance monitoring, data analysis, and regulatory research across the healthcare revenue cycle. This role involves conducting in-depth account reviews, identifying trends and root causes of compliance issues, and ensuring corrective actions are effectively implemented. The ideal candidate will have significant experience with hospital revenue cycle operations, strong analytical capabilities, and proficiency in major healthcare systems such as Epic, Meditech, and Cerner. In addition, the analyst will stay current on Medicare and other healthcare regulations, translating complex requirements into clear, actionable insights for stakeholders. Strong communication skills, project management expertise, and the ability to manage multiple priorities are essential for success in this role.

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

Primary Responsibilities:

• Compliance Monitoring
  
  • Conduct detailed account reviews to validate accuracy in credit balances, denial management, front-end documentation, etc. and alignment with applicable laws, regulations, and internal policies
  • Identify recurring issues and trends through monitoring activities; perform root cause analysis to identify performance improvement opportunities
  • Prepare and present concise summaries of monitoring outcomes to Compliance and operational leadership
  • Track and verify the timely implementation and effectiveness of corrective action plans
• Data Analysis & Reporting
  
  • Analyze large, complex datasets to uncover potential compliance risks across the full revenue cycle, including patient access, billing, and collections
  • Translate analytical findings into actionable insights to support decision-making and continuous improvement
• Regulatory Compliance
  
  • Maintain up-to-date knowledge of healthcare regulations, particularly Medicare-related requirements, and assess their impact on organizational processes
  • Conduct regulatory research and distill complex information into clear, stakeholder-friendly summaries to support compliance awareness and education

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:
Before applying, please ensure each of these experiences are stated clearly on your resume under each applicable employer entry.

• Significant experience reviewing and analyzing claims, billing, and reimbursement data
• Significant experience using systems such as EPIC, MS4, Meditech, SMS Invision, Cerner, Star and other industry-standard platforms
• Expertise in researching, summarizing Federal and State regulations, payer guidelines, regulatory agency publications and industry standards for hospitals and physician practices
• Significant hospital Revenue Cycle process knowledge and deep understanding of end-to-end revenue cycle operations, including patient access, billing, collections, and denial management
• Proven exceptional ability to analyze complex datasets, identify patterns and trends, and translate findings into actionable insights to support compliance and operational improvements

Preferred Qualifications:

• Significant experience communicating clearly and professionally-both verbally and in writing-with stakeholders at all organizational levels, including senior executives
• Proven expert-level skills in Microsoft Word, Excel, and PowerPoint, with the ability to create complex documents, data-driven reports, and impactful presentations
• Proven advanced command of project management principles and tools, with a proven ability to plan, execute, and oversee multiple initiatives simultaneously
• Proven highly organized and efficient in managing multiple projects and priorities while consistently meeting established deadlines

Total Compensation. As part of your total compensation package, which includes base, bonus opportunity, PTO and holiday pay, you will also receive these benefits at these rates, not to mention a remote work opportunity and healthy work/life balance.

UHG Benefits

Benefits pricing

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $71,600 to $140,600 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.

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.