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Community and Provider Engagement Specialist - San Diego, CA

UnitedHealth Group

San Diego, CA
Job Code:
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Job Details

757228 Community and Provider Engagement Specialist San Diego CA

Community and Provider Engagement Specialist - San Diego, CA (757228)

Position Description

Position Description:

Community and Provider Engagement Specialist will develop meaningful relationships with key healthcare providers (providers) and community partners. They will identify market strategies to support products and drive membership growth and retention for the health plan products they support. This role will be primarily in the field, working in provider offices as well as organizing and attending events for business growth. With their marketing acumen and community relations experience this role will have the opportunity to be the face of the company and to share the mission of our company – To help people live healthier lives and help make the health system work better for everyone. Join us and start doing your life's best work.

Positions in this function are involved in developing market strategies to support products and drive membership / sales growth. Positions develop strategies and tactical plans to support consumer / member innovation, support new product and program launches, and combat competitive pressures. May analyze economic considerations, develop marketing forecasts, estimate costs, and manage program/project budgets.

Primary Responsibilities:
  • Identify and work with providers and community partners with focus on growth and retention of UnitedHealthcare Community Plan members
  • Help identify and pursue potential providers and community partners who could become an asset to promote the health plan’s overall health care initiatives and quality of service
  • Execute plan marketing strategies to increase market share in the California markets
  • Demonstrate understanding of all MediCal lines of business as they to managed care and the needs of the members enrolled in them in order to facilitate their care and resolution of their issues
  • Develop strong relationships with providers, their office management teams and community partners.
  • Maintain strong business relationships to ensure retention of existing contracted providers therefore decreasing loss in membership due to provider terminations
  • Educate providers and their patients on UHC services and health and wellness resources
  • Introduce and educate providers on health lifestyle initiatives offered by the health plan for their patients
  • Conduct regular visits to providers to introduce new initiatives and monitor success of those in place
  • Conduct regular visits to providers to identify issues and ensure effective problem resolution to maintain strong relationships
  • Demonstrate understanding of providers' business goals and strategies in order to align them with those of the health plan
  • Coordinate activities / events with providers and community partners to promote the health plan and educate members on value added services offered by the health plan
  • Communicate members’ and providers' needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goals
  • Work with internal business partners to identify, understand, and / or improve tools, resources, systems, and capabilities that can maximize provider / member experience, or health plan performance
  • Collaborate and / or participate in discussions with colleagues and business partners to identify potential root cause of issues
  • Analyze data to determine root cause of issue (e.g., identify trends and patterns; identify outliers and anomalies) and / or escalate problem to appropriate business partner for further analysis, as necessary
  • Involve leadership and / or escalate issues as necessary to implement provider / member solutions
  • Respond to providers’ requests by directing them to appropriate internal or external resources
Required Qualifications:
  • High School Diploma / GED (or higher)
  • 1+ years of experience with Medicare and / or Medicaid
  • 2+ years of marketing experience
  • 2+ years of experience in a deadline driven environment
  • 2+ years of experience managing and prioritizing several deliverables
  • 2+ years of proven experience influencing and collaborating with others
  • Intermediate (or higher) level of experience with Microsoft Office including Microsoft PowerPoint (create presentations), Microsoft Word (create documents), and Microsoft Excel (create spreadsheets)
  • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
  • Ability to travel up to 50% of the time within territory and work evenings and weekends when required
Preferred Qualifications:
  • 2+ years of Community Outreach field experience
  • Knowledge of CMS (Center for Medicare and Medicaid Services) Marketing rules and regulations
Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV / AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.

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.

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

Keywords: Marketing, specialist, medicaid, medicare, travel, outreach, field work, CMS, California, San Diego, United HealthGroup, UnitedHealth care

Job Details

  • Contest Number757228
  • Job TitleCommunity and Provider Engagement Specialist - San Diego, CA
  • Job FamilyMarketing and Advertising
  • Business SegmentCommunity and State

Job Location Information

  • San Diego, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 50 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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