1+ months

Physician Business Manager - El Paso, TX

El Paso, TX 79901
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  • Job Code
    889153

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work. (sm)

WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic stat that understands and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.

The Physician Business Manager is responsible for developing, maintaining and servicing a high quality, marketable and satisfied provider network within an assigned geographic area. Key responsibilities include recruitment and contracting, education and servicing of assigned providers. The Physician Business Manager helps assigned Providers operate successfully within our healthcare delivery model by providing strategic planning and tools to meet goals. This position is expected to build and sustain strong working relationships with cross functional departments, vendors, local sales, and assigned Providers. The Physician Business Manager is accountable for overall performance and profitability for their assigned groups as well as ownership and oversight to provide redirection as appropriate.

 

Primary Responsibilities:

  • Educates Providers to ensure they have the tools they need to meet Quality, Risk adjustment, growth (as appropriate) and total medical cost goals per business development plans
  • Ensures Providers have in depth understanding of AHN Care Model to include, but not limited to, contractual obligations, program incentives and patient care best practices
  • Conducts detailed analysis of various reports by tracking and trending data to develop a strategic plan to ensure performance goals are achieved
  • Ensures the overall strategic plan incorporates interventions with internal departments or subject matter experts, external vendors, and others as needed
  • Participates in creation and execution of a local network development plan to assure network adequacy as needed
  • Works at the direction of their assigned leader to recruit/contract providers ensuring network adequacy
  • Conducts new provider orientations and collaborates with Executive Directors on ongoing education to providers and their staff on healthcare delivery products, health plan partnerships and compensation arrangements.
  • Maintains open communication with providers to include solutions for resolution and closure on health plan issues related to credentialing, claims, eligibility, disease management, utilization management, quality and risk adjustment programs
  • Collaborates with Executive Director and Lead Physician to conduct provider meetings to share and discuss economic data, identify and support best practices and escalates discrepancies for resolution, as needed
  • Works with Executive Directors on all required PBM provider meetings.  The PBM is responsible for the agenda, minutes of the meeting, any action items and information reported appropriately
  • Collaborates with contracting team and payers to ensure provider data is correct and Provider directories include any needed updates.  Completes Practitioner Data Forms and Provider Change Forms as needed
  • Performs all other related duties as assigned

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.

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Posted: 2020-09-02 Expires: 2020-11-08

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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Physician Business Manager - El Paso, TX

UnitedHealth Group
El Paso, TX 79901

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