The Role
Leads multiple Financial Clearance teams, overseeing healthcare revenue cycle operations, client relationships, financial performance, workforce planning, compliance, talent development, escalations, reporting, and continuous improvement. Requires extensive healthcare Revenue Cycle or account experience, operations leadership, knowledge of financial clearance and prior authorization, and strong analytical and stakeholder management skills.
Summary Generated by Built In
Requisition Number: 2384450
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:
Required Qualifications:
Key Areas of Accountability
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.
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:
- Provide strategic leadership and direction across multiple Financial Clearance teams to ensure achievement of operational goals, service excellence, and business objectives
- Oversee daily operations, ensuring productivity, quality, compliance, and performance metrics are consistently met or exceeded
- Serve as the primary point of contact for client stakeholders, fostering strong relationships and ensuring alignment with client expectations and contractual requirements
- Drive client satisfaction through proactive communication, issue resolution, and delivery of high-quality operational outcomes
- Manage financial performance by monitoring budgets, forecasting resource requirements, optimizing staffing models, and identifying cost-saving opportunities
- Lead workforce planning initiatives to support business growth and operational efficiency
- Develop, coach, and mentor leaders and team members to build a high-performing organization and strong leadership pipeline
- Implement talent development strategies, including performance management, succession planning, and employee engagement programs
- Ensure adherence to organizational policies, regulatory requirements, client guidelines, and industry standards through effective governance and compliance oversight
- Monitor operational risks and implement corrective actions to mitigate compliance and quality concerns
- Champion continuous improvement initiatives by identifying process gaps, leveraging data-driven insights, and implementing solutions that enhance efficiency, quality, and customer experience
- Collaborate with cross-functional partners to drive innovation, process standardization, and operational excellence across Financial Clearance functions
- Lead escalation management efforts, ensuring timely resolution of complex operational and client-related issues
- Prepare and present operational, financial, and performance reports to senior leadership and client stakeholders
- 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:
- 7+ years of healthcare Revenue Cycle experience or Healthcare account experience
- 3+ years of operations leadership experience
- Demonstrated experience managing Supervisors and SMEs
- Experience managing operational and client performance metrics
- Solid understanding of:
- Financial Clearance
- Prior Authorization
- Patient Access Operations
- Revenue Cycle Management
- Healthcare Payer Requirements
- Proven advanced analytical and stakeholder management skills
Key Areas of Accountability
- Operations Leadership
- Client Relationship Management
- Financial Management
- Talent Development
- Governance & Compliance
- Continuous Improvement & Operational Excellence
- Escalation Management
- Stakeholder Engagement and Reporting
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.
Skills Required
- 7+ years of healthcare Revenue Cycle experience or healthcare account experience
- 3+ years of operations leadership experience
- Experience managing Supervisors and SMEs
- Experience managing operational and client performance metrics
- Understanding of Financial Clearance
- Understanding of Prior Authorization
- Understanding of Patient Access Operations
- Understanding of Revenue Cycle Management
- Understanding of healthcare payer requirements
- Advanced analytical skills
- Advanced stakeholder management skills
Optum Compensation & Benefits Highlights
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Healthcare Strength — Official materials highlight copay and HSA medical plan choices with in‑network preventive care at 100%, prescription coverage, and low/no‑cost virtual visits, plus company HSA contributions. Dental preventive services are 100% in network, and mental health resources include an EAP and premium Calm access.
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Parental & Family Support — Programs include six weeks paid parental leave, up to two weeks paid caregiver leave, and Bright Horizons back‑up care with enhanced family supports. Adoption assistance up to $10,000 for full‑time employees reinforces family‑oriented benefits.
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Equity Value & Accessibility — Financial benefits include an Employee Stock Purchase Plan at a 10% discount, expanding access to equity ownership.
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The Company
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.
Typical time on-site:
Not Specified
