Job Information
UnitedHealth Group RCM QA Supervisor - Backend - Multiple Sites in Quezon City Manila, Philippines
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.