9 days old

Physician Business Manager - Provider Relations - Wichita Falls, Midland, and Odessa - 916987

Wichita Falls, TX 76301
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  • Job Code
    916987

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

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This position functions as a subject matter expert in network operations. This position strives tobring consistency and experience to existing Physician Business Managers in the local market byanalyzing, reviewing, forecasting, trending, and presenting information for operational andbusiness planning. This position will organize and assist the local Physician Business Managersin achieving short and long term operational/strategic business goalsby 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 researchand analysis of data and business processes.

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Primary Responsibilities:

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  • Analyzes risk pool and provider group performance to determine areas of focus or improvement opportunities
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  • Develops 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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  • Provides explanations and interpretations within area of expertise
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  • Provides 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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  • Uses pertinent data and facts to identify and solve a range of problems through experience, research and collaboration
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  • Assists local Physician Business Managers with investigating non-standard requests and problems
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  • Prioritizes and organizes assigned workload of local Physician Business Managers is able to meet deadlines while delivering the best outcomes possible
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  • Provides explanations, direction and information to others on topics within area of expertise
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  • Collaborates 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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  • Solid analytical skills required to support, compile and report key information
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  • Drive processes and technology improvement initiatives that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.)
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  • Use data to identify trends, patterns and opportunities for the business and clients. Develop business strategies in line with company strategic initiatives
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  • Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities
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  • Evaluate and drive processes, provider relationships and implementation plans
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  • Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products
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  • Collaborate with other Physician Business Manager- Area Leads to foster teamwork and build consistency throughout the market
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  • Serves as a liaison to the health plan and all customers
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  • Requires solid presentation skills, problem solving and ability to manage conflict and identify resolutions quickly
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  • Have the ability to communicate well with physicians, staff and internal departments
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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 or Healthcare Administration or related field(4+ 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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  • 5+ years of experience in a related medical field or health plan setting, or managed care
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  • Knowledge of Managed Care and Medicare programs
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  • Ability to develop long-term positive working relationships
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  • Ability to communicate and facilitate strategic meetings with groups of all sizes
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  • Strong business acumen, analytical, critical thinking and persuasion skills
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  • Exceptional interpersonal skills with ability to interface effectively internally with all levels of staff and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPAs, the press and community organizations
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  • Strong verbal and written communication skills
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  • Proficiency in Microsoft Word, Excel and PowerPoint
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  • 50% Travel
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • Risk Adjustment knowledge related to CMS reimbursement models
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Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company 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,Abilene, Lubbock, Amarillo, Odessa, Midland, Del Rio, Wichita Falls, San Angelo, TX, Texas

Posted: 2021-06-09 Expires: 2021-07-09

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 - Provider Relations - Wichita Falls, Midland, and Odessa - 916987

UnitedHealth Group
Wichita Falls, TX 76301

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