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Senior Physician Business Manager - San Antonio, TX

UnitedHealth Group

San Antonio, TX
Job Code:
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Job Details

Senior Physician Business Manager - San Antonio, TX(Job Number:731642)

This position functions as a subject matter expert in network operations. This position strives to bring consistency and experience to existing Physician Business Managers in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize and assist the local Physician Business Managers in achieving short and long term operational / strategic business goals by developing, enhancing and maintain 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.


Primary Responsibilities:

  • 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 to existing local Physician Business Managers and acts as the subject matter expert for their assigned area.

  • Uses pertinent data and facts to identify and solve a range of problems through experience, research and collaboration

  • Assists local Physician Business Managers with investigating non-standard requests and problems

  • Prioritizes and organizes assigned workload of local Physician Business Managers is able 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

  • 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

Job Provider Relations and Service
Primary Location US-TX-San Antonio
Other Location 
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 2
Apply on the Company Site

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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