1+ months

Network Manager, Provider Relations-Denver and Colorado Springs

Golden, CO 80401
  • Job Code

The Network Manager for New West Physicians is responsible for driving the clinical and financial performance of Colorado's Independent Physician Association (IPA).  They provide clinical and administrative support to providers in the network, including but not limited to research and data analysis, help with business processes, and general problem-solving.  Strong interpersonal relationship and communication skills required as this position will interact daily with physicians and office staff and is responsible for building trust and credibility with IPA providers.  This position supports short and long term operational/strategic business activities - by developing, enhancing and maintaining operational information and models for IPA practices.

Primary Responsibilities:
  • Develops strong relationships with their network providers to ensure provider satisfaction in accordance with OptumCare Standards and CDO policies and procedures
  • Ensure that each practice is meeting its financial and quality performance goals, and develop action plans for those practices that are underperforming. 
  • Act as liaison between Provider Contracting department and other internal departments to resolve issues and answer questions related to provider contracts, in a timely and efficient manner
  • Drives processes and improvement initiatives that directly impact revenue, clinical performance, affordability, NPS, HEDIS/STAR measures and Quality Metrics
  • Collaborates with medical management, risk, and quality staff to provide network physicians with the right level of clinical and payor support
  • Deploy and manage technological solutions for improvement of access, quality, service and affordability into provider offices
  • Educates PCPs and their staff members on health plan products and processes
  • Maintain and obtain contracts within assigned territory
  • Support MA membership growth within IPA practices through provider education and relationships with brokers in the community
  • Helps IPA practices navigate through the changes that value-based care requires
  • Handles claims and payment issues
  • Assists in handling patient issues with PCPs
  • Assess and interpret customer needs and requirements
  • Coach and provide feedback to assigned PCP practices on OptumCare processes
  • Act as a resource for others with new staff or others with less experience

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.



Posted: 2020-07-10 Expires: 2020-09-06

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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Network Manager, Provider Relations-Denver and Colorado Springs

UnitedHealth Group
Golden, CO 80401

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