[Hiring] Manager, Provider Relations @UnitedHealth Group

Role Description

The Manager, Provider Relations, plays a key role in supporting the Director, Provider Relations and contributes to a team that spans across markets, lines of business and clients. This position is an integral part of developing and executing the Market Operations strategy and performance of the provider outcomes. This is a collaborative role requiring critical thinking skills, independence, leadership, a strategic mindset, and attention to detail.

• Collaborate with Market and Clinical Operations teams to assist in service and product revenue growth and enhance stakeholder satisfaction.
• Provide support to Executive Directors and the Director of Clinical Operations on network initiatives and operational priorities.
• Work alongside Data Management teams to help resolve claims issues and contribute to provider performance tool improvements for multiple levels of care.
• Assist in companywide initiatives by supporting efforts to market the enterprise and advance Provider Operations.
• Partner with Product Teams to ensure new developments align with provider expectations and operational needs.
• Compile and summarize claims-based performance data to support change management efforts at acute and PAC levels, helping create actionable recommendations that drive network performance and meet internal KPI goals.
• Gather and analyze provider feedback to assist in developing action plans that improve network performance.
• Support execution of strategic initiatives within the provider network by coordinating tasks and monitoring progress.
• Assist in evaluating the impact of regional and national providers on market performance and provide insights to leadership.
• Prepare and deliver supporting materials for presentations on provider performance tools to various audiences.
• Manage provider escalation resolution processes across the market, ensuring consistent reporting and practices to reduce provider abrasion.

Qualifications

• 5+ years of health care/managed care experience.
• 3+ years of provider relations and/or provider network experience.
• 1+ years of experience with Medicare and Medicaid regulations.
• Intermediate level of proficiency in claims processing and issue resolution.
• Proficiency with MS Word, Excel, PowerPoint and Access.
• Willing or ability to travel up to 55%.
• Driver’s license and access to reliable transportation.

Preferred Qualification

• Skilled Nursing provider experience.

Soft Skills

• Detail-oriented with the ability to independently plan, organize and prioritize work.
• Ability to complete initiatives with minimal supervision.
• Ability to build and foster relationships inside and outside the organization including C-suite level decision makers and operators.
• Ability to influence and educate others.
• A willingness to work toward team objectives.
• Self-starter with effective communication skills.
• Excellent presentation skills with high Emotional Intelligence.
• Comfortable multi-tasking and operating in a matrixed organization.

Work Conditions and Physical Requirements

• Ability to establish a home office workspace.
• Ability to manipulate laptop computer (or similar hardware) between office and site settings.
• Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time.
• Ability to communicate with clients and team members including use of cellular phone or comparable communication device.
• Ability to remain stationary for extended time periods (1 – 2 hours).
• Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 55% of the time.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).

Salary

The salary for this role will range from $72,800 - $130,000 annually based on full-time employment.