Implement strategies to manage medical costs and drive performance of the enterprise's key priorities for the employed, contracted, and affiliated provider population Contribute to the design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers Help implement training and development of internal and external providers and clinic staff through education and training programs Act as the liaison between primary care and s... more details
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
If you are located in Houston, TX, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Implement strategies to manage medical costs and drive performance of the enterprise's key priorities for the employed, contracted, and affiliated provider population
- Contribute to the design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers
- Help implement training and development of internal and external providers and clinic staff through education and training programs
- Act as the liaison between primary care and specialty providers to improve communication and outcomes between the parties
- Assist in conducting operational meetings with specialty provider offices and increase the adoption of enterprise member management portals
- Identify gaps in specialty network composition and services to assist network contracting and development teams
- Perform project management and operational analysis for initiatives to ensure timely deliverables, proactive monitoring of key metrics, and progress made toward achieving goals
- Review work performed by others and provide recommendations for improvement
Consider yourself an expert problem solver who thrives on challenge? In this role, you'll be part of a performance-driven, fast-paced organization serving multiple markets. You'll also have frequent interactions with internal/external providers and staff who are looking for solutions to problems or issues.
Youll 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:
- High school diploma or GED
- 5+ years of health care/managed care experience
- 3+ years of provider relations and/or provider network experience
- 1+ years of experience with Medicare and Medicaid regulations
- Proficiency with MS Word, Excel, PowerPoint, MS Teams, and Tableau Reader
*All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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. ?
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
