Revenue Cycle Subject Matter Expert - Remote - Remote Eligible

Revenue Cycle Subject Matter Expert (SME)

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.

As a Revenue Cycle Subject Matter Expert (SME), you will be the strategic bridge between client operations and automation delivery-defining impactful use cases, facilitating solution-oriented discussions, and guiding process transformation. You'll lead discovery through shadowing sessions, document high-level success metrics, and ensure automation strategies align with client goals. With a solid presence in daily stand-ups, you'll approve technical documentation, resolve client-related issues, and provide critical process clarifications to keep automation initiatives moving forward with precision and purpose.

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

Primary Responsibilities:

• Collaborate with analysts to identify automation opportunities
• Collaborate with architects and analysts on the team to translate identified business processes into automation opportunities
• Engage with clients and executive leadership to present automation strategies, share insights, and facilitate solution-oriented discussions
• Define use cases in collaboration with the client
• Conduct shadowing sessions with various business process owners to understand current and future state processes
• Document high-level use cases and success/ROI metrics
• Approve Process Design Document (PDD) before bot development
• Participate in daily stand-up meetings
• Provide process clarifications
• Resolve client-related issues during stand-ups

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:

• 5+ years of hands-on experience in revenue cycle operations, with demonstrated expertise across front-end (e.g., patient access), mid-cycle (e.g., coding, documentation), and back-end (e.g., billing, collections) functions
• 4+ years of experience supporting initiatives across front-end (e.g., patient access), mid-cycle (e.g., clinical documentation, coding), and back-end (e.g., billing, collections) operations
• 3+ years of experience in a consulting or client-facing role, with a focus on delivering strategic process improvement and automation solutions in dynamic healthcare environments
• 3+ years of experience in facilitating workshops, discovery sessions, and cross-functional meetings, leading to the identification and documentation of seven use cases and automation opportunities for clients
• Experience presenting executive leadership, with the ability to distill complex operational challenges into strategic insights and ROI-driven recommendations-supported by at least five executive-level presentations
• Experience having authored and validated high-level use cases, success metrics, and Process Design Documents (PDDs) for at least five automation initiatives, demonstrating rigorous documentation skills
• Experience with resolving client-related issues in real time, with active participation in daily stand-ups and a history of supporting cross-functional delivery teams through process clarifications and issue resolution

Preferred Qualifications:

• Proven expertise in process redesign and systems implementation, driving operational efficiency and technology adoption
• Hands-on proficiency with automation technologies, including Robotic Process Automation (RPA), Intelligent Document Processing (IDP), and workflow orchestration platforms such as UiPath, Automation Anywhere, or Power Automate
• Leadership in cross-functional teams, fostering collaboration across business, technical, and operational stakeholders
• Educational or professional background in engineering, providing a solid foundation in systems thinking and technical problem-solving

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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.