23 days old

Physician Business Manager- Houston, Texas - 914647

Houston, TX 77002
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  • Job Code
    914647

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 lifes best work.(sm)

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This position functions as a subject matter expert in network operations. This position strives to bring consistency and experience to existing Physician Business Managers in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize and assist the local Physician Business Managers in achieving short and long term operational/strategic business goals/ by developing, enhancing and maintaining operational information and models. They also develop, in conjunction with the local Director/Manager, and implement effective/strategic business solutions through research and analysis of data and business processes.

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Primary Responsibilities:

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  • Analyze risk pool and provider group performance to determine areas of focus or improvement opportunities
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  • Develop strategies to align contracted provider groups with company initiatives, goals (revenue and expense) and quality outcomes
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  • Create and develop action plans to achieve metrics in quality, coding and financial performance
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  • Provide explanations and interpretations within area of expertise
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  • Provide daily direction and guidance to existing local Physician Business Managers and acts as the subject matter expert for their assign area
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  • Use pertinent data and facts to identify and solve a range of problems through experience, research and collaboration
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  • Assist local Physician Business Managers with investigating non-standard requests and problems
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  • Prioritize and organizes assigned workload of local Physician Business Managers is able to meet deadlines while delivering the best outcomes possible
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  • Provide explanations, direction and information to others on topics within area of expertise
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  • Collaborate with local Medical Director(s) to monitor utilization trends and profit pools to assist with developing strategic plans to improve performance
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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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Required Qualifications:

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  • Bachelors degree in Business Administration, Marketing, Healthcare Administration or a related field (3 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelors degree).
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  • 3+ years experience in the medical field or health plan setting
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  • Knowledge of Managed Care and Medicare programs
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  • Experience presenting group presentations and training
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  • Demonstrated business acumen, analytical, critical thinking, and persuasion skills
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  • Proficiency in Microsoft Word, Excel and PowerPoint
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  • Travel 75% of the time
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  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
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  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (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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  • Risk Adjustment knowledge related to CMS reimbursement models
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  • Ability to Develop Long Term Relationships
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  • Strong Work Ethic & Desire to Succeed
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  • Ability to sit down with medical groups of all sizes and develop joint action/work plans
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  • Excellent Oral & Written Communication Skills
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  • Ability to work independently, use good judgment and decision-making process
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  • Ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goal
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  • Ability to resolve complete problems and evaluate options to implement solutions
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  • Ability to adopt quickly to change in an ever-changing environment
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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 550,000+ 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)

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords:Physician Business Manager, Houston, TX, Texas

Posted: 2021-03-24 Expires: 2021-04-23

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- Houston, Texas - 914647

UnitedHealth Group
Houston, TX 77002

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