1+ months

Physician Business Manager - Provider Relations - Harlingen, TX - 902850

Harlingen, TX 78550
  • Job Code
    902850

The more you do, the more you learn. And as you"learn you find new doors opening that challenge you to bring your best."This Provider Relations Advocate role with UnitedHealth Group will call on your"knowledge, your energy and your commitment to making health care work more"effectively for more people. We're building better, more effective provider"networks every day. In this role, you'll use your strong customer service"orientation and knowledge of insurance claims to serve as an advocate for"providers in our networks. As you do, you'll discover the impact you want and"the resources, backing and opportunities that you'd expect from a Fortune 6"leader.

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"Primary Responsibilities:

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  • Assist in end-to-end"provider claims and help enhance call quality
  • Assist in efforts to"enhance ease of use of physician portal and future services enhancements
  • Contribute to design and"implementation of programs that build / nurture positive relationships between"the health plan, providers and practice managers
  • Support development and"management of provider networks
  • Help implement training"and development of external providers through education programs
  • Identify gaps in network"composition and services to assist network contracting and development teams
  • Analyze outcomes and"make appropriate recommendations to improve outcomes / processes moving forward
  • Collect / synthesize"best practices from across a network of provider organizations
  • Build and sustain positive"provider relationships
  • Meet and / or exceed"client service level provider relations expectations
  • Manage provider"relationships that require frequent contact; includes large, regional and"complex clients
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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 Rio Grande Valley about 50%
  • You will be asked to perform this role in an office setting or other company location
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive VoiceResponse (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 Optum.Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to doyour 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:provider relations, physician business manager, quality, healthcare provider relations, travel, Medicare Advantage, Harlingen, Texas, TX

Categories

Posted: 2020-12-02 Expires: 2021-03-05

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Physician Business Manager - Provider Relations - Harlingen, TX - 902850

UnitedHealth Group
Harlingen, TX 78550

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