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Job Details
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in. 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. 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
- 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
- Demonstrable High Level Communication skills
- Proficiency in claims processing and issue resolution
- Ability to travel locally within the Austin market about 50%
- Experience with Medicare regulations
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more