Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)
Primary Responsibilities:
* Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
* Expertise in physician/facility/ancillary contract reimbursement methodologies
* Lead cross functional teams and drive the team to successfully complete the objectives
* Engage with local provider organizations to support, augment and accelerate efforts to improve operational coordination of patient care
* Research and proactively seek to fill in knowledge gaps in key functional areas
* Provide/ensure training to applicable audiences, as needed
* Ensure project documentation is accurate and all projects are completed on time and within scope
* Analyze project outcomes and make appropriate recommendations to improve outcomes/processes moving forward
* Collect/synthesize best practices from across a network of provider organizations
* Meet and / or exceed client service level provider relations expectations
* Manage provider relationships that require frequent contact; includes large, regional and complex clients
* Create and present PowerPoint provider education decks
* Document activities and report on progress, utilizing tools and job aids as requested by manager, on a consistent, timely and accurate basis
* Plan, conduct, and / or participate in special projects as directed by management or when supporting individual performance goals
In this role, you'll be part of a performance driven, fast paced organization that is serving multiple markets. You'll have frequent interactions with senior management and physicians as you communicate about ways to evolve ongoing processes and programs.
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:
* Undergraduate degree or equivalent work experience
* 4+ years of health care / managed care experience
* 2+ years in healthcare provider relations, provider network management, medical office administration, revenue cycle management, or Medicare Advantage sales
* Proficiency with MS Word, Excel, PowerPoint
* Ability to travel locally within the Austin market about 50%
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
Preferred Qualifications:
* Proficiency in claims processing and issue resolution
* Experience with Medicare regulations
* Demonstrable High-Level Communication skills
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: Physician Business Manager, Provider relations, Travel, Austin, TX, Texas
Hopkins, MN
UnitedHealth Group Incorporated operates as a diversified health care company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers, small businesses, and individuals; health and well-being services to individuals age 50 and older, addressing their needs for preventive and acute health care services, as well as services dealing with chronic disease and other specialized issues for older individuals; and Medicaid plans, Children’s Health Insurance Program, and health care programs; and health and dental benefits.
The OptumHealth segment provides access to networks of care provider specialists, health management services, care delivery, consumer engagement, and financial services. This segment serves individuals through programs offered by employers, payers, government entities, and directly with the care delivery systems.
The OptumInsight segment offers software and information products, advisory consulting arrangements, and services outsourcing contracts to hospital systems, physicians, health plans, governments, life sciences companies, and other organizations. The OptumRx segment provides pharmacy care services and programs, including retail network contracting, home delivery, specialty and compounding pharmacy, and purchasing and clinical, as well as develops programs in areas, such as step therapy, formulary management, drug adherence, and disease/drug therapy management. UnitedHealth Group Incorporated was founded in 1974 and is based in Minnetonka, Minnesota.