Supervisor, Revenue Integrity & Analytics - Remote

Optum; Las Vegas (NV); Hybrid; USD 83,097,000 - 149,001,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase program

401(k) contribution

Job summary

Optum in Las Vegas seeks a Revenue Integrity Supervisor to oversee West revenue integrity processes, charge capture, and coding accuracy. You will maintain the chargemaster, review reimbursement trends, and collaborate with coding and clinical teams to fix issues.

The role emphasizes analytics, cross-functional teamwork, and proactive improvement in the revenue cycle. The position offers remote work within the U.S.

Qualifications

• 2+ years in Healthcare Revenue Cycle Operations including revenue integrity, reimbursements, denials.
• 2+ years in advanced analytics delivering actionable insights from data.
• Working knowledge of ICD, CPT, HCPCS coding.
• Experience with data from payor claims, EDI, EHR.
• Experience with cross-functional teams and leadership.
• Knowledge of third-party payer requirements.
• Intermediate proficiency with Microsoft Excel, PowerPoint, Word, Project.
• Strong problem solving and analytical skills.

Responsibilities

• Supervises daily revenue integrity operations including payer payment and pricing applications.
• Maintains chargemaster and fee schedules for West Region; coordinates updates.
• Monitors charge-capture controls and revenue reconciliation.
• Reviews Epic charge-related work queues and billing edits.
• Partners with Coding and clinical departments to correct charge and coding errors.
• Serves as primary resource for charge-related questions and payer requirements.
• Identifies opportunities to optimize practice management and reporting.
• Analyzes KPI dashboards and monthly operational reports for stakeholders.
• Analyzes charges, payments, denials, and trends to identify revenue gaps.
• Performs routine claim and chargemaster reviews and escalates issues with payers.
• Monitors payer guidance and implements compliant changes.
• Leads reviews with operational leaders and develops improvement plans.
• Supports payer contract configuration and monitors payments against terms.
• Participates in revenue cycle improvement initiatives.

Skills

Healthcare revenue cycle

Advanced analytics

Medical coding (ICD CPT HCPCS)

Data from multiple sources

Team collaboration

Communication skills

Microsoft Excel

PowerPoint

Word

MS Project

Tools

Epic

Microsoft Project

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. The Revenue Integrity Supervisor is responsible for overseeing West revenue integrity processes to drive appropriate reimbursement, pricing accuracy, transparency and expertise for charge capture.

You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Las Vegas , you will be required to work in the office a minimum of 2 times a month or PST working hours 8 am to 5pm Monday Thru Friday

Primary Responsibilities

• Supervises daily revenue integrity operations, including payer payment and pricing applications, charge control processes, system updates as needed
• Maintains the chargemaster and fee schedules for West Region; completes annual and quarterly updates; documents approved changes; and coordinates annual CDM CPT/HCPCS updates
• Monitors charge-capture controls, including revenue reconciliation, change management, and supports departmental accountability for complete and accurate charges
• Reviews, works, and resolves Epic charge-related work queues and billing edits accurately and within established turnaround times
• Partners with Coding and clinical departments to identify and correct charge, billing, documentation, and coding errors in accordance with ICD, CPT, HCPCS, payer, and National Correct Coding Initiative requirements
• Serves as the primary service‑line resource for charge‑related questions, charge‑code use, payer coverage, and payment requirements
• Identifies opportunities to optimize practice management and revenue cycle technology, integrate business intelligence tools, automate manual processes, and standardize reporting across the West
• Analyzes, validates, and distributes KPI dashboards, quality‑control reports, monthly operational reports, and ad hoc analyses for Revenue Cycle, Finance, Clinical Operations, and other stakeholders
• Analyzes charges, payments, denials, and reimbursement trends to identify revenue gaps, short payments, noncompliance, and opportunities to accelerate collections and prevent revenue loss
• Conducts routine claim and chargemaster reviews, coordinates complex denials and payer audits, and escalates or troubleshoots claim and reimbursement issues with payers
• Monitors Medicare, Medicaid, and commercial payer guidance and medical policies; evaluates operational and financial impacts; and implement approved compliance changes with Revenue Integrity and operational leaders
• Meets with operational leaders to review revenue cycle metrics, identify trends and issues, and develop interim and long‑term improvement plans
• Supports payer contract configuration in practice management systems and monitors payments against contractual terms to identify reimbursement variances
• Participates in revenue cycle improvement initiatives and completes other duties or projects that support organizational goals

Required Qualifications

• 2+ years of experience in Healthcare Revenue Cycle Operations including revenue integrity, reimbursement methodologies, denials, and process improvement
• 2+ years of experience in advanced analytics, delivering actionable insights from data, databases, and big data analytics environments
• Working knowledge of medical coding (ICD, CPT, HCPCS)
• Exposure to healthcare data from multiple sources: Payor claims processing, EDI, EHR
• Experience in working with multi‑disciplinary teams and varying levels of leadership
• Knowledge of third‑party payer requirements including federal, state, and private health care plans and authorization process
• Intermediate proficiency with Microsoft products such as Excel, PowerPoint, Word, Project
• Solid problem‑solving, critical thinking, and analytical skills
• Demonstrated comprehension of complex clinical and revenue integrated systems and processes
• Solid & efficient communication and customer service skills

Preferred Qualifications

• Ability to take direction from senior leadership but also be able to work independently with follow‑through and handle multiple tasks simultaneously
• Solid verbal skills and ability to communicate abstract concepts in a simple format
• Solid organizational skills: ability to prioritize work; detail oriented
• Ability to educate and train all levels of professional staff
• Ability to be proactive, self‑directing, and take initiative
• Ability to work efficiently under pressure
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far‑reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full‑time employment. We comply with all minimum wage laws as applicable.

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.