Optum Hiring for Patient Access Director – MarinHealth Medical Center – San Rafael, CA – San Fran at Concord, CA  Full Time

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 Director is responsible for effectively leading and directing the work of assigned staff within the parameters of designated performance standards and metrics. The Director is expected to support Patient Access leadership and to motivate staff to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service and financial performance. The Director is responsible to ensure the department meets key metrics established by the client and sets targets to meet and exceed performance standards. This position leads the team through the change management process and focuses to identify gaps within registration to improve deficiencies where opportunity exists. This role serves as a representative of the corporate Patient Access Revenue Cycle Operations department. The Director works to build relationships with client administration and works in tandem with local leadership to interact with other departments including internal customers within the revenue cycle team. The incumbent attends managerial meetings as required and supports the core values of Optum, which is an integral part of this position

Although this position is primarily focused upon the provision of service at the Facility (Hospital and/or Clinics), the position has frequent contact with the Regional Patient Registration Directors and the Corporate Patient Registration Directors and Managers, as well as facility-based clinical and administrative leadership.

Primary Responsibilities:

• Provides facility level oversight of the following areas:
  • Financial Clearance (as assigned)
  • Registration / Check-in, including Point-of-Service Collections
  • Financial Counselling
  • Patient Satisfaction / Customer Service
  • Other duties as assigned by the local client, including but not limited to Patient Scheduling, Bed Management / Patient Placement, MPTL and Switchboard and for the development of processes and initiatives designed to improve Revenue Cycle performance in assigned areas which includes:
  • SLA and MSA compliance
  • CHAN and other regulatory audit follow-up and compliance
  • Client Liaison (i.e., Relationship development, program coordination)
  • Customer Engagement (Patient Experience and Client Satisfaction):
    • Participates in targeted customer engagement improvement initiatives
    • Collaborates with and actively coaches assigned management and frontline staff in the implementation of strategies to improve the satisfaction and experience levels
    • Monitors and evaluates the results of various service / satisfaction surveys and conducts analysis of data to identify and operationalize opportunities for improvements
  • Communications (i.e., Patient Access Newsletters, CFO Presentations, Monthly Operational Reports, etc.)
  • Department Status Report compilation and presentation
  • Facility budget maintenance
  • Workforce Management oversight (Staffing plan, work schedules, position requisitions, productivity and quality monitors, disciplinary actions, staff orientation, evaluation feedback, etc.)
  • Facility-based vendor relations and support (i.e., Self-Pay Medicaid Eligibility staff)
  • Process improvement initiatives, either facility-based or corporate
  • Other duties as assigned
• Provides system level oversight for Optum client improvement programs and initiatives related to assigned Patient Access activities, working with the Regional Patient Registration Directors and other Patient Access leaders, Facility administration and leadership, and others from the Optum team, as warranted
• Effectively leads initiatives related to Data Integrity (System Edit Reviews, DNFB performance, etc.), Quality Assurance, Patient Satisfaction, Employee Engagement and Process Improvement activities, ensuring associate understanding and commitment, as well as expected process improvement outcomes. Develops action plans to mitigate deficiencies in performance to maintain or exceed targets
• Leads by example promotes teamwork and operational relationships by fostering a positive, transparent, and focused working environment which achieves maximum results. Facilitates growth and development opportunities for their leaders and mentors when applicable to foster exemplary leadership
• Maintains and demonstrates expert knowledge of the application of Patient Access processes and best practices; drives the integration of Optum Patient Access related business objectives within the client environment. Understands the importance of compliance, follows local state and federal guidelines, and can articulate such knowledge and share with their team
• Knows, understands, incorporates, and demonstrates the Optum Mission, Vision, and Values in behaviors, practices, and decisions
• Serves in a leadership role and promotes positive Human Resource Management skills:
  • Interviews, selects and is accountable for the on-going development and evaluation of individuals within the area of responsibility
  • Develops associate loyalty and retention through effective associate engagement, inclusion, and participation; Proactively solicits, listens to, and addresses associate suggestions; Promotes a professional environment that recognizes and respects diversity
  • Develops associate work schedules to ensure cost effective staffing that meets customer requirements, while promoting an economical, efficient workforce and considers associate work-life balance
  • Establishes, implements, and evaluates on-going performance improvement programs, utilizing an interdisciplinary approach; Escalates to the Regional Director any unfavorable trends or disciplinary actions; Provides managerial follow-up related to performance, up to and including disciplinary actions and termination
  • Provides staff training and mentoring to promote growth and development of assigned resources
  • Financial and personnel management of assigned areas
• Provides leadership for departmental services through collaboration with customers, employees, physicians, clinics, other Optum / client departments and services, vendors, etc. Scope of job duties, include and are not limited to:
  • Effectively managing the assigned Patient Access activities and staff members. Demonstrated ability to interpret 3rd party payer contract requirements and recommend, design, and implement procedures for compliance with regulations and standards
  • Uses knowledge of Patient Access industry leading practices, performance metrics and monitors, and other documentation to expedite appropriate use of resources and ensure 3rd party payor and client compliance
  • Distributing process updates regarding criteria changes, regulation changes, process, and program changes to assigned staff, ensuring their understanding and future compliance
  • Is familiar with the entire revenue cycle function and demonstrates good understanding of revenue integrity, billing and collections and coding
• Manages assigned staff to ensure steady workflow balance and high-quality outcomes:
  • Effectively directs and facilitates a multidisciplinary team to achieve its desired outcome
  • Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability, and staff retention
  • Supports a collaborative, participative management style
  • Fosters teamwork atmosphere between business and clinical stakeholders
  • Maintains close business relationship with associates at the regional and local levels by ensuring onsite and virtual presence at regular intervals and during special events
• Educates physicians, physician office staff, and organizational associates regarding assigned Patient Access requirements:
  • Functions as a consultant to Regional and facility-based leadership, physicians, case managers and others regarding assigned performance guidelines and standards for Patient Access services
  • Meets with individual or groups of physicians, family members, 3rd party payers, and vendors as necessary to facilitate the Patient Access process at the local level
• Identifies action plans to improve the quality of services in a cost-efficient manner and facilitates plan implementation.
• Prepares required reports using statistically sound information, displaying content in easily understandable format; Escalates to the Regional Director any unfavorable trends
• Maintains professional development and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in revenue cycle operations and healthcare in general:
  • Participates as appropriate in continuing educational programs and activities that pertain to healthcare and revenue cycle management, as well as specific functional areas
  • Develops and implements an annual plan of personal and professional development
  • Demonstrates the competencies necessary to influence others’ behaviors toward a common dedication to the Optum’s mission, goals, and objectives
  • Participates in local, regional, and national health care revenue activities and professionally represents Optum at these functions
• Other duties as needed and assigned by the Regional Director or in coordination with other Optum Patient Access or Revenue Cycle Leadership, including but not limited to leading and conducting special projects. Develops project work plans, facilitates resource allocation, executes project tasks and obtains assistance from other intra and inter-functional resources, as required
• Maintains a working knowledge of applicable federal, state, and local laws and regulations, Optum’s Compliance, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior

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.

Years of post-high school education can be substituted/is equivalent to years of experience

Required Qualifications:

• 5 + years of experience in a supervisory / management role, working in a hospital Patient Registration Department, physician office setting, healthcare insurance company, revenue cycle vendor, and/or other revenue cycle role
• Consulting and project management experience in revenue cycle design and optimization
• Proficiency with Microsoft Excel, Word, Project, PowerPoint, and SharePoint
• Proven excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects)
• Must be able to work on-site at Marin Health Center and travel to local off-site

Preferred Qualifications:

• Certification within Healthcare Financial Management Association (HFMA) and/or the National Association of Healthcare Access Management (NAHAM)
• 3+ years of experience in customer service, preferably in a healthcare environment.
• Experience leading or participating in large Patient Access-related IT and/or Contact Center program implementation
• Experience with the major Patient Access technologies currently in use, and/or other “like” systems
• Operational knowledge of Federal and State regulations pertaining to patient admissions, as well as standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC)
• Proven exemplary level leadership and business driver skills (ability to make hard decisions focusing upon operational goals and business requirements)
• Proven exemplary level ability to influence change and serve as primary change agent
• Demonstrated client service orientation
• Proven solid program management skills with the ability to lead and manage multiple, concurrent running projects, prioritize tasks, and adapt to frequent changes in departmental priorities. Ability to recognize necessary changes in priority of tasks and allocation of resources, and bring them to the attention of Optum leadership, as required. Demonstrated knowledge of process improvement techniques are essential to success, as is the ability to be a self-starter and work independently to move projects successfully forward
• Demonstrated ability to work with a variety of individuals in executive, managerial and staff level positions. The incumbent frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations
• Proven comfortable operating in a collaborative, shared leadership environment that encourages change engagement and participation, and open dialogue. Ability to work within the organization at all levels utilizing a very “hands-on” approach to creating value and buy-ins as the lead change facilitator
• Demonstrated ability to attract, develop, deploy, and retain a world class revenue cycle team, capable of performing as a team and of evolving with the organization’s vision and with cutting edge technologies.
• Proven possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum and our client organization(s)
• Demonstrated ability to interpret 3rd party payer contract requirements and recommend, design, and implement procedures for compliance with regulations and standards. Ability to negotiate with insurance vendors, medical directors, and 3rd party payers when appropriate to facilitate the delivery of care in the most appropriate setting

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

California Residents Only: The salary range for California residents is $101,200 to $184,000 per year. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

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 employers 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.