[Hiring] Senior Network Program Specialist @UnitedHealth Group

Role Description

As a Provider Senior Network Program Specialist for the Veterans Affairs Community Care (VA CCN), you'll support the VA CCN Network in 36 states. In this role, you will assist providers with navigating the VA CCN program and its requirements for participation in the VA CCN network.

This role is all about challenge, relationships, and the ability to thrive in an ever-changing environment. You’ll collaborate with other UHG business partners to support the M1S contract as we work on building effective relationships with clinicians and provider groups. The environment is fast-paced and demanding, so you will be changing priorities often and reacting to the needs of the network.

• Effective and clear communication to support creating relationships with providers that will help ensure that providers maintain a contract within the network.
• Provide oversight of activities that support positive physician relationships with a focus on a data-driven, collaborative approach.
• Collaborate with network providers for program issue resolution including contracting, credentialing, demographic management, authorizations, required education, and invoice payment processes.
• Implement strategies to support Optum’s relationships with providers to influence providers to act and produce measurable outcomes relative to improving quality, efficiency of care, and administrative performance.
• Conduct required M1S provider education and training.
• Collaborate with the development and implementation of new operational processes to support the M1S program.
• Contribute to a team environment that is compassionate, supportive, inclusive, and goal-driven.

Qualifications

• 2+ years of experience in managed care (claims, advocacy, provider data review).
• 2+ years of experience with presenting educational materials.
• Proven ability to work independently and with a team.
• Proven ability to multitask and prioritize job assignments.

Requirements

• Experience with government engagement & military programs.
• Military background.
• Network Management or Provider Advocacy related role.
• Advance Excel/ Microsoft applications.

Benefits

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