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Healthcare Manager of Provider Service and Claims - Wisconsin

UnitedHealth Group

Wauwatosa, WI
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Job Details

750479 Healthcare Manage of Provider Service and Claims Wisconsin

Healthcare Manager of Provider Service and Claims - Wisconsin (750479)

Position Description

Here's a way to leverage all of what makes you a leader. Your experience. Your knowledge. And your approach to life. It's also an opportunity to build what's ahead. Take on this managerial role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's what you can bring to the table. You'll use your strong customer service and leadership skills to ensure quality of interactions and performance of providers in our networks. As you do, you'll find the impact you want and the backing, resources and opportunities that you'd expect from a Fortune 6 leader.

Primary Responsibilities:

  • Oversee performance of end-to-end provider claims servicing and call quality
  • Set team direction, resolve problems and provide guidance to members of own team
  • Adapt departmental plans and priorities to address business and operational challenges
  • Drive the design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
  • Ensure implementation of training and education programs for external providers
  • Identify gaps in network composition and services to assist network contracting and development teams

Get ready for some significant challenge. You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be managing and mentoring a production based team to meet aggressive goals.

Required Qualifications:

  • High school diploma or equivalent work experience
  • 5+ years of provider relations experience
  • 3+ years of supervisory experience
  • At least an intermediate level of knowledge of claims processing
  • 1+ years of experience with Medicare and Medicaid regulations
  • Exceptional presentation, written and verbal communication skills
  • Proficiency in MS Word, PowerPoint, Excel and Access

Preferred Qualifications:

  • Undergraduate degree

The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life's best work.SM

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.SM



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.


Job Keywords: Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Provider Network, Network Development, Provider Services, Provider Education, Provider Relations, Wauwatosa, WI, Eau Claire and Green Bay, WI, Wisconsin

Job Details

  • Contest Number750479
  • Job TitleHealthcare Manager of Provider Service and Claims - Wisconsin
  • Job FamilyNetwork Management
  • Business SegmentCommunity and State

Job Location Information

  • Wauwatosa, WI
    United States
    North America
  • Other LocationsEau Claire, WI
    Green Bay, WI

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

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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