1+ months

Physician Business Manager - San Antonio, TX - 903062

United Health Group
San Antonio, TX 78205
  • Job Code
    903062

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.


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Primary Responsibilities
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  • 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
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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
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  • High"school diploma or equivalent experience
  • 5+"years of health care/managed care experience
  • 3+"years of provider relations and/or provider network experience
  • 1+"years experience with Medicare and Medicaid regulations
  • Intermediate"level of proficiency in claims processing and issue resolution
  • Proficiency"with MS Word, Excel, PowerPoint and Access
  • 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
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Preferred Qualifications
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  • Undergraduate"degree
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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:Provider Relations, San Antonio, TX"

Categories

Posted: 2020-12-10 Expires: 2021-03-11

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Physician Business Manager - San Antonio, TX - 903062

United Health Group
San Antonio, TX 78205

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