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Manager, Provider Relations - Eden Prairie, MN

UnitedHealth Group


Location:
Eden Prairie, MN
Date:
04/24/2018
2018-04-242018-05-23
Job Code:
762045
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Job Details

762045 Manager Provider Relations Eden Prairie MN

Manager, Provider Relations - Eden Prairie, MN (762045)

Position Description

There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in. You’ll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 6 leader.  
 
Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network.  Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.
 
Primary Responsibilities:
  • Manage, coach, provide feedback and guide others
  • Support the investigation of non-standard requests and problems
  • Prioritize and organize own work to meet deadlines
  • Provide explanations and information to others on topics within area of expertise
  • Exceptional presentation, written and verbal communication skills
  • Ability to work independently and remain on task
  • Good organization and planning skills
  • Use pertinent data and facts to identify and solve a range of problems within area of expertise
  • Oversee educating key Nursing Home staff about United Healthcare systems
  • Design and implement programs that build / nurture positive relationships between the health plan, providers and practice managers
  • Help implement training and development of external providers through education programs
  • Identify gaps in network composition and services to assist network contracting and development teams

Required Qualifications:

  • Undergraduate degree or HS Diploma/GED with equivalent experience
  • 1+ years of experience in leadership/team lead role
  • 3+ years of health care/managed care experience
  • 3+ years of provider relations and/or provider network experience
  • Intermediate level of proficiency in claims processing and issue resolution
  • 1+ years experience with Medicare and Medicaid regulations
  • At least an intermediate proficiency with MS Office, particularly PowerPoint and Excel
  • Skilled Nursing, Home health or hospice experience

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 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)
 

 

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: Manager Provider Advocate, Medicare, Medicaid, Commercial plans, Eden Prairie, MN, Minnesota

Job Details

  • Contest Number762045
  • Job TitleManager, Provider Relations - Eden Prairie, MN
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • Eden Prairie, MN
    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 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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