UnitedHealth Group
Physician Business Manager / Provider Relations - Harlingen, TX
UnitedHealth Group, Harlingen, Texas, United States, 78552
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.
Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.
Primary Responsibilities:
Assist in end-to-end provider claims and help enhance call qualityAssist in efforts to enhance ease of use of physician portal and future services enhancementsContribute to design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managersSupport development and management of provider networksHelp implement training and development of external providers through education programsIdentify gaps in network composition and services to assist network contracting and development teamsAnalyze outcomes and make appropriate recommendations to improve outcomes / processes moving forwardCollect / synthesize best practices from across a network of provider organizationsBuild and sustain positive provider relationshipsMeet and / or exceed client service level provider relations expectationsManage provider relationships that require frequent contact; includes large, regional and complex clientsYou'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:
2+ years of health care / managed care experience2+ years in healthcare provider relations, provider network management, medical office administration, revenue cycle management, or Medicare Advantage salesProficiency with MS Word, ExcelAbility to travel locally within the region about 25-50%Access to reliable transportationPreferred Qualifications:
Proficiency in claims processing and issue resolutionExperience with Medicare regulations
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
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.
Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.
Primary Responsibilities:
Assist in end-to-end provider claims and help enhance call qualityAssist in efforts to enhance ease of use of physician portal and future services enhancementsContribute to design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managersSupport development and management of provider networksHelp implement training and development of external providers through education programsIdentify gaps in network composition and services to assist network contracting and development teamsAnalyze outcomes and make appropriate recommendations to improve outcomes / processes moving forwardCollect / synthesize best practices from across a network of provider organizationsBuild and sustain positive provider relationshipsMeet and / or exceed client service level provider relations expectationsManage provider relationships that require frequent contact; includes large, regional and complex clientsYou'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:
2+ years of health care / managed care experience2+ years in healthcare provider relations, provider network management, medical office administration, revenue cycle management, or Medicare Advantage salesProficiency with MS Word, ExcelAbility to travel locally within the region about 25-50%Access to reliable transportationPreferred Qualifications:
Proficiency in claims processing and issue resolutionExperience with Medicare regulations
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.