28 days old

Senior Physician Business Manager, WellMed - Houston, TX

Houston, TX 77002
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  • Job Code
    846589
This position functions as a subject matter expert in network operations. This position strives to bring consistency and experience to the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize and assist 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.

 

 

General Profile:

  • Analyzes risk pool and provider group performance to determine areas of focus or improvement opportunities
  • Develops strategies to align contracted provider groups with company initiatives, goals (revenue and expense) and quality outcomes
  • Create and develop action plans to achieve metrics in quality, coding and financial performance
  • Provides explanations and interpretations within area of expertise
  • Provides daily direction and guidance and acts as the subject matter expert for their assigned area

 

Job Scope:

  • Uses pertinent data and facts to identify and solve a range of problems through experience, research and collaboration
  • Assists with investigating non-standard requests and problems
  • Prioritizes and organizes assigned workload to meet deadlines while delivering the best outcomes possible
  • Provides explanations, direction and information to others on topics within area of expertise
  • Collaborates with local Medical Director(s) to monitor utilization trends and profit pools to assist with developing strategic plans to improve performance

 

 

Primary Responsibilities:

  • Strong analytical skills required to support, compile and report key information
  • Drive processes and technology improvement initiatives that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.)
  • Use data to identify trends, patterns and opportunities for the business and clients
  • Develop business strategies in line with company strategic initiatives
  • Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities
  • Evaluate and drive processes, provider relationships and implementation plans
  • Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products
  • Collaborate with other Physician Business Manager- Area Leads to foster teamwork and build consistency throughout the market
  • Serves as a liaison to the health plan and all customers
  • Requires strong presentation skills, problem solving and ability to manage conflict and identify resolutions quickly
  • Have the ability to communicate well with physicians, staff and internal departments

 

The information listed above is not comprehensive of all duties / responsibilities performed.

 

This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.


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: 2019-10-16 Expires: 2019-11-15

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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Senior Physician Business Manager, WellMed - Houston, TX

UnitedHealth Group
Houston, TX 77002

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