Senior Level Revenue Cycle Representative Jobs
Senior level revenue cycle representative jobs place experienced professionals in charge of end-to-end billing operations, payer negotiations, denial management strategy, and the teams or workflows that drive financial outcomes. Openings are concentrated across Healthcare & Medical Services, Consulting & Professional Services, and Staffing & Recruiting, with a mix of on-site, remote, and hybrid positions available from employers like Med-Metrix, Jobot, and Optum hiring at this level now.
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Showing 5 of 11+ Senior Level Revenue Cycle Representative jobs
INTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
The Vice President, Revenue Cycle Management - Client Delivery is the senior executive accountable for end-to-end revenue cycle performance, client delivery, financial outcomes and technology-enabled transformation for hosted business services supporting a large, complex health system generating more than $13 billion in annual net revenue. The role provides strategic leadership across revenue cycle operations, advances automation and artificial intelligence capabilities, and aligns Operations, Product, Technology, Analytics teams to achieve contractual commitments, strengthen client satisfaction and create sustainable enterprise value.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Client executive leadership
- Serve as the senior client counterpart for performance, risk, transformation and business outcomes
- Participate in executive governance and operating reviews that clearly frame performance, commitments, decisions, risks and escalation paths
- Translate health-system priorities, operational challenges and financial objectives into a sequenced client roadmap
- Build productive coalitions across client and enterprise stakeholders to accelerate decisions and sustain change
- Drive client retention, advocacy and long-term partnership value
End-to-end revenue cycle delivery
- Provide portfolio oversight across acute revenue cycle operations, including patient access, billing, follow-up, denials management, collections and related support functions
- Ensure achievement of contractual commitments, service-level agreements and key performance indicators
- Drive operational excellence through process standardization, performance management, workforce optimization and continuous improvement
- Maintain accountability for cash collections, accounts receivable performance, denials, productivity, quality, inventory health and cost to collect
- Use operational, financial and workforce data to identify root causes, prioritize interventions and maintain focus on measurable results
- Lead resolution of critical service issues and performance recoveries through structured action plans and executive governance
Transformation, technology and operating model
- Develop and execute a technology-enabled transformation strategy across revenue cycle operations
- Identify opportunities to automate work, improve efficiency, strengthen quality and enable sustainable growth
- Influence product and technology roadmaps by translating client needs and operational insights into automation, analytics and artificial intelligence solutions
- Partner with Product and Technology leaders to advance innovation while maintaining operational stability, regulatory compliance and service continuity
- Lead process redesign, organizational simplification, change management and adoption of new capabilities
- Partner with the RCM Centers of Excellence to ensure performance delivery on client commitments
Contractual and risk governance
- Maintain command of client agreements, performance measures, models, governance obligations and change-control provisions
- Partner with Finance and Legal to evaluate scope changes and balance client value, delivery feasibility, risk and enterprise economics
- Ensure appropriate controls and compliance with applicable regulatory, contractual and organizational requirements
- Escalate material delivery, financial, contractual or reputational risks with clear options and recommendations
Workforce and leadership
- Lead and develop a high-performing organization through clear accountabilities, leadership expectations and outcome measures
- Establish workforce management practices that align skills and capacity to inventory, demand and client priorities
- Attract, develop and retain leaders and critical operational talent
- Build scalable workforce capabilities that support operational excellence, transformation and future growth
- Create an inclusive, accountable culture grounded in collaboration, transparency, disciplined execution and continuous improvement
- Build succession depth and critical capabilities across revenue cycle, client delivery, transformation and technology-enabled operations
Role profile summary
This role requires a senior operator and client leader who can move fluently between executive partnership, detailed revenue cycle performance, and transformation. The successful leader will combine health-system credibility with disciplined execution, using data, technology and cross-functional leadership to improve revenue outcomes, strengthen client confidence and expand the strategic partnership.
Role Scope:
- Lead client delivery and outsourced revenue cycle operations for a large health system generating more than $13 billion in annual net revenue
- Oversee complex operations across onsite, remote, onshore and offshore teams
- Hold accountability for client satisfaction, operational performance, and account profitability
- Drive technology-enabled transformation across front-, middle- and back-office revenue cycle functions
- Balance client value, service quality, regulatory requirements, delivery feasibility, enterprise risk and financial performance
BASIC QUALIFICATIONS
- 15+ years of progressive leadership experience in healthcare services, revenue cycle management, healthcare technology, consulting or client-facing operations
- Deep knowledge of end-to-end provider revenue cycle operations across acute and ambulatory environments
- Demonstrated success leading large-scale, complex healthcare operations and enterprise client relationships
- Proven executive-level engagement with health-system and C-suite leaders
- Experience leading technology-enabled transformation, automation, process redesign and operational improvement initiatives
- Solid financial acumen with profit-and-loss, budget or account management experience
- Experience leading complex, geographically distributed teams across onsite, remote, onshore and offshore delivery models
- Demonstrated ability to lead organizational change and influence cross-functional stakeholders
- Experience operating within regulatory, contractual and enterprise risk requirements
- Ability to travel as required to support client and business needs
- Bachelor's degree in business, healthcare administration, finance or a related field
PREFERRED QUALIFICATIONS
- Master's degree in business administration, healthcare administration or a related field
- Experience leading revenue cycle managed services, business process outsourcing or technology-enabled healthcare services
- Experience with automation, analytics, digital transformation and artificial intelligence solutions in healthcare operations
- Professional services or healthcare consulting leadership experience
- Experience influencing product strategy, technology investments and innovation roadmaps
- Knowledge of healthcare financial management, payer reimbursement and large health-system operations
- Experience with major electronic health record and billing platforms
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). The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
INTRODUCTION
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES
The Vice President, Revenue Cycle Management - Client Delivery is the senior executive accountable for end-to-end revenue cycle performance, client delivery, financial outcomes and technology-enabled transformation for hosted business services supporting a large, complex health system generating more than $13 billion in annual net revenue. The role provides strategic leadership across revenue cycle operations, advances automation and artificial intelligence capabilities, and aligns Operations, Product, Technology, Analytics teams to achieve contractual commitments, strengthen client satisfaction and create sustainable enterprise value.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Client executive leadership
- Serve as the senior client counterpart for performance, risk, transformation and business outcomes
- Participate in executive governance and operating reviews that clearly frame performance, commitments, decisions, risks and escalation paths
- Translate health-system priorities, operational challenges and financial objectives into a sequenced client roadmap
- Build productive coalitions across client and enterprise stakeholders to accelerate decisions and sustain change
- Drive client retention, advocacy and long-term partnership value
End-to-end revenue cycle delivery
- Provide portfolio oversight across acute revenue cycle operations, including patient access, billing, follow-up, denials management, collections and related support functions
- Ensure achievement of contractual commitments, service-level agreements and key performance indicators
- Drive operational excellence through process standardization, performance management, workforce optimization and continuous improvement
- Maintain accountability for cash collections, accounts receivable performance, denials, productivity, quality, inventory health and cost to collect
- Use operational, financial and workforce data to identify root causes, prioritize interventions and maintain focus on measurable results
- Lead resolution of critical service issues and performance recoveries through structured action plans and executive governance
Transformation, technology and operating model
- Develop and execute a technology-enabled transformation strategy across revenue cycle operations
- Identify opportunities to automate work, improve efficiency, strengthen quality and enable sustainable growth
- Influence product and technology roadmaps by translating client needs and operational insights into automation, analytics and artificial intelligence solutions
- Partner with Product and Technology leaders to advance innovation while maintaining operational stability, regulatory compliance and service continuity
- Lead process redesign, organizational simplification, change management and adoption of new capabilities
- Partner with the RCM Centers of Excellence to ensure performance delivery on client commitments
Contractual and risk governance
- Maintain command of client agreements, performance measures, models, governance obligations and change-control provisions
- Partner with Finance and Legal to evaluate scope changes and balance client value, delivery feasibility, risk and enterprise economics
- Ensure appropriate controls and compliance with applicable regulatory, contractual and organizational requirements
- Escalate material delivery, financial, contractual or reputational risks with clear options and recommendations
Workforce and leadership
- Lead and develop a high-performing organization through clear accountabilities, leadership expectations and outcome measures
- Establish workforce management practices that align skills and capacity to inventory, demand and client priorities
- Attract, develop and retain leaders and critical operational talent
- Build scalable workforce capabilities that support operational excellence, transformation and future growth
- Create an inclusive, accountable culture grounded in collaboration, transparency, disciplined execution and continuous improvement
- Build succession depth and critical capabilities across revenue cycle, client delivery, transformation and technology-enabled operations
Role profile summary
This role requires a senior operator and client leader who can move fluently between executive partnership, detailed revenue cycle performance, and transformation. The successful leader will combine health-system credibility with disciplined execution, using data, technology and cross-functional leadership to improve revenue outcomes, strengthen client confidence and expand the strategic partnership.
Role Scope:
- Lead client delivery and outsourced revenue cycle operations for a large health system generating more than $13 billion in annual net revenue
- Oversee complex operations across onsite, remote, onshore and offshore teams
- Hold accountability for client satisfaction, operational performance, and account profitability
- Drive technology-enabled transformation across front-, middle- and back-office revenue cycle functions
- Balance client value, service quality, regulatory requirements, delivery feasibility, enterprise risk and financial performance
BASIC QUALIFICATIONS
- 15+ years of progressive leadership experience in healthcare services, revenue cycle management, healthcare technology, consulting or client-facing operations
- Deep knowledge of end-to-end provider revenue cycle operations across acute and ambulatory environments
- Demonstrated success leading large-scale, complex healthcare operations and enterprise client relationships
- Proven executive-level engagement with health-system and C-suite leaders
- Experience leading technology-enabled transformation, automation, process redesign and operational improvement initiatives
- Solid financial acumen with profit-and-loss, budget or account management experience
- Experience leading complex, geographically distributed teams across onsite, remote, onshore and offshore delivery models
- Demonstrated ability to lead organizational change and influence cross-functional stakeholders
- Experience operating within regulatory, contractual and enterprise risk requirements
- Ability to travel as required to support client and business needs
- Bachelor's degree in business, healthcare administration, finance or a related field
PREFERRED QUALIFICATIONS
- Master's degree in business administration, healthcare administration or a related field
- Experience leading revenue cycle managed services, business process outsourcing or technology-enabled healthcare services
- Experience with automation, analytics, digital transformation and artificial intelligence solutions in healthcare operations
- Professional services or healthcare consulting leadership experience
- Experience influencing product strategy, technology investments and innovation roadmaps
- Knowledge of healthcare financial management, payer reimbursement and large health-system operations
- Experience with major electronic health record and billing platforms
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). The salary for this role will range from $200,400 to $343,500 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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- Healthcare & Medical Services
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Senior Level Revenue Cycle Representative Jobs: Frequently Asked Questions
How do I get a senior level revenue cycle representative job?
Employers at this level look for candidates who can own complex billing cycles, reduce denial rates, and lead process improvements without close supervision. Demonstrating experience with payer contract negotiations, coding compliance, and cross-functional collaboration with clinical and finance teams gives you a strong edge. Highlighting measurable outcomes, such as improved collection rates or reduced days in accounts receivable, strengthens any application significantly.
Which companies hire senior level revenue cycle representatives?
Companies hiring senior level revenue cycle representatives right now include Med-Metrix, Jobot, and Optum, based on current listings on Migrate Mate as of November 2026. Hiring at this level tends to come from large health systems, hospital networks, physician group practices, and revenue cycle management firms that need experienced professionals to lead billing operations.
Are there remote senior level revenue cycle representative jobs?
Yes, remote and hybrid opportunities are well established at this level given the desk-based nature of billing, coding, and payer communications. About 70% of senior level revenue cycle representative openings are remote or hybrid as of November 2026, reflecting strong employer flexibility for professionals who can manage workflows and mentor teammates without being on-site daily.
What makes a revenue cycle representative role senior level?
Senior level roles go beyond processing claims and following established workflows. They involve owning a segment of the revenue cycle end-to-end, identifying systemic denial trends and driving corrective action, training or mentoring junior staff, and collaborating with leadership on policy and payer strategy. The expectation is that you operate independently, escalate only the most complex issues, and contribute to improving the department's overall financial performance.
Which industries hire the most senior level revenue cycle representatives?
Senior Level revenue cycle representative roles concentrate in Healthcare & Medical Services, Consulting & Professional Services, and Staffing & Recruiting, based on current listings on Migrate Mate as of November 2026. These sectors drive the most hiring because they handle high claim volumes, complex payer mixes, and ongoing regulatory requirements that demand experienced revenue cycle professionals to maintain financial performance.