Job Information
UnitedHealth Group Director - Back Office RCM Operations in Hyderabad, India
Requisition number: 2353363
Job category: Business Operations
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.
We are seeking a strategic and results-oriented Director - RCM Operations to lead large-scale, multi-account healthcare revenue cycle operations with full ownership of business outcomes, client value creation, and financial performance.
This role is responsible for driving end-to-end RCM transformation, ensuring sustained improvement in cash collections, AR performance, and net revenue realization, while also owning P&L, client relationships, and growth initiatives.
The ideal candidate will combine deep RCM expertise with solid business acumen, and the ability to leverage digital, automation, and AI-led solutions to deliver enterprise-level impact.
Primary Responsibilities:
Business Ownership and P&L Management
Own P&L for RCM operations, including revenue, cost, margin, and profitability targets
Drive financial performance through:
Revenue optimization
Cost-to-collect reduction
Productivity and utilization improvements
Identify and execute opportunities for margin expansion and business growth
Enterprise Outcome Ownership (RCM Metrics)
Own and drive performance across key RCM metrics:
Cash collections / net revenue realization
AR days and aging profile
Denial rates and recovery
GCR / MNCR performance
Write-offs and revenue leakage
Ensure alignment of all operational levers to enterprise-level financial outcomes
Strategic Client Partnership and Growth
Act as a strategic advisor to clients, engaging at executive levels
Lead business reviews (QBRs/EBRs) with focus on value creation and transformation
Identify and drive growth opportunities:
Expansion of services
New scope additions
Transformation-led deals
Ensure high client satisfaction, retention, and long-term partnerships
Cross-Functional RCM Leadership:
Drive alignment across front-end, mid-cycle, and back-end operations to improve end-to-end outcomes
Establish solid closed-loop feedback mechanisms across the RCM value chain
Influence upstream processes (eligibility, coding, billing) to reduce downstream inefficiencies
Transformation, Digital and AI Strategy:
Define and lead the RCM transformation roadmap across accounts
Drive adoption of:
Automation (RPA, workflow tools)
AI/ML solutions (denial prediction, AR prioritization, coding validation)
Advanced analytics for decision-making
Partner with technology and innovation teams to deliver scalable, future-ready solutions
Operational Excellence at Scale :
Oversee large, multi-site, multi-account operations (1000+ FTEs)
Ensure consistent delivery of:
Productivity
Quality
SLA adherence
Standardize best practices and create globally scalable operating models
Cost Optimization and Efficiency Leadership
Drive enterprise-wide initiatives to reduce cost-to-collect
Optimize delivery models through:
Automation
Workforce strategy
Process re-engineering
Build a culture of continuous efficiency improvement and cost consciousness
Leadership and Talent Development
Lead a team of Associate Directors and senior leaders
Build solid leadership bench strength and succession pipeline
Foster a culture of:
Accountability for outcomes
Innovation and continuous improvement
High engagement and performance
Governance, Risk and Compliance
Establish solid governance frameworks across accounts
Ensure adherence to regulatory requirements (HIPAA), client policies, and internal controls
Proactively manage risks impacting operations, revenue, and client relationships
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 regards 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:
Education: Graduate (MBA preferred)
Experience: 15+ years in US Healthcare RCM or BPO operations
Extensive experience managing large-scale, multi-account operations (1000+ FTEs)
Proven solid track record in P&L ownership and client relationship management
Core Competencies
RCM Expertise and Strategic Thinking
Business and Financial Acumen
Transformation and Innovation
Client and Stakeholder Leadership
Operational Leadership
People Leadership
Preferred Qualifications:
Lean Six Sigma certification
Experience in large-scale transformation programs
Exposure to digital health, analytics, and AI-led RCM solutions
Success Metrics (What Good Looks Like)
Sustained improvement in cash collections, AR days, GCR/MNCR, and write-offs
Proven solid P&L performance and margin expansion
Successful delivery of transformation and automation initiatives
High client satisfaction and business growth
Reduced cost-to-collect at scale
Proven solid leadership pipeline and team engagement
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.