RCM QA Supervisor - Backend - Multiple Sites at UnitedHealth Group Canada

Cebu City, Central Visayas, Philippines -

Full Time

Start Date

Immediate

Expiry Date

27 Apr, 26

Salary

0.0

Posted On

27 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Process Improvement, Claims Processing, Denial Management, Payment Posting, Compliance, Audits, Stakeholder Management, Team Leadership, Data Analysis, Project Management, Communication, Presentation Skills, Analytical Mindset, Microsoft Office, Budgeting

Industry

Hospitals and Health Care

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. Primary Responsibilities: RCM Operations & Process Management Oversee end-to-end Revenue Cycle Management processes, including claims processing, denial management, and payment posting Drive process improvements and implement automation strategies for efficiency Ensure adherence to SLAs and KPIs for operational excellence Compliance & Audits Ensure compliance with regulatory guidelines such as HIPAA, SOX, and corporate standards Participate in internal and external audits and maintain accurate documentation Align processes with organizational and industry compliance requirements Stakeholder Management Communicate effectively with clients, leadership, and cross-functional teams Build strong relationships with business partners and manage escalations promptly Act as a key liaison for all RCM-related matters Team Leadership & Training Lead and mentor teams to achieve performance goals Foster a culture of continuous improvement and data-driven decision-making Analytics & Decision-Making Utilize data analysis to identify trends and drive strategic decisions Conduct root cause analysis and implement predictive analytics for process optimization Prepare and present reports to leadership for informed decision-making Planning & Budgeting Develop operational budgets and ensure cost control Lead projects focused on process improvement and automation Create and execute RCM roadmaps aligned with business objectives Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: 2+ years in Healthcare Industry & People Management Good Knowledge of HealthCare Industry Preferred Qualifications: Proven experience in managing Revenue Cycle Management (RCM) operations and driving process improvements Ability to clearly connect and communicate with key stakeholders and leadership team for strategic decision-making Solid communication and presentation skills to influence and align cross-functional teams Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook) for reporting and analysis Understanding project management principles and ability to manage multiple initiatives simultaneously Analytical mindset with a focus on data-driven decision-making and performance metrics 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. Optum is a drug-free workplace. © 2026 Optum Global Solutions (Philippines) Inc. All rights reserved.

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Responsibilities

The RCM QA Supervisor will oversee end-to-end Revenue Cycle Management processes, ensuring operational excellence and compliance with regulatory guidelines. They will also lead and mentor teams, drive process improvements, and utilize data analysis for strategic decision-making.