Healthcare Provider Network Engagement Manager - West Region
Company: UnitedHealth Group
Location: Cypress
Posted on: June 24, 2022
Job Description:
UnitedHealthcare is a company that's on the rise. We're
expanding in multiple directions, across borders and, most of all,
in the way we think. Here, innovation isn't about another gadget,
it's about transforming the health care industry. Ready to make a
difference? Make yourself at home with us and start doing your
life's best work.(sm)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
solid 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 5
leader. -If you are located in OR, WA, CA, you will have the
flexibility to telecommute* as you take on some tough
challenges.Primary Responsibilities:75% of the role is to engage
with UnitedHealthcare Providers
- Independently, lead for engagement management initiatives
including working with external providers on appropriate use of the
network, adoption of point of care enablement technology,
self-service adoption, affordability targets and overall
education
- Provide day-to-day management of engagement activities,
including project management, reporting, coaching, implementation,
problem resolution with defined service partners and other
activities to assist in the facilitation of a successful
relationship with assigned providers/book of business
- In partnership with the UHC Interoperability subject matter
expert, operate as the provider adoption leader for all
interoperability initiatives (i.e. including UHC Insights, PreCheck
MyScript and Point of Care Assist Solutions) -
- Interface with key individuals from provider practices to drive
understanding of the provider practice data, act as subject matter
expert and support needed practice workflow changes -
- Consistently share practice data so providers understand how
they are performing, and can improve their performance to set
benchmarks
- Present practice data and information at external meetings to
insure tools maximize value and collaborative efforts are
completed
- Understand and guide providers to appropriate resources to
troubleshoot questions and other business concerns
- Engage non-HPP provider groups to support performance journey
to High Performing Physician (HPP) status
- Log all provider interactions and follow up on open issues to
ensure proper documentation of current and future actions are
tracked
- Create provider feedback loop on improved satisfaction
opportunities with interoperability tools15% of the role is to
engage with Internal Partners
- Accurately and effectively communicate to status of Point of
Care Solutions initiatives to internal UHG business partners -
- Appropriately prioritize and escalate issues to contract
leadership in support of ongoing relationship management
- Recommend data/report enhancements based on HPP practice
clinical team feedback
- Meet individual affordability and engagement performance
metrics set by National UnitedHealthcare Networks Team10% of the
role is to handle Ongoing Network Responsibilities: -
- Self Service Adoption Efforts: Link, Smart Edits, DPOC &
additional technology as they become available
- New and ongoing Policy Changes (i.e. affordability
initiatives)
- Other outreach efforts as assignedYou'll be rewarded and
recognized for your performance in an environment that will
challenge you and give you clear direction on what it takes to
succeed in your role as well as provide development for other roles
you may be interested in.Required Qualifications:
- Undergraduate degree or equivalent combination of education and
relevant experience
- 3+ years of project management expertise -
- 3+ years of experience in health plans or provider experience,
with a demonstrated focus on value based contracting, population
health management, or physician incentive programs -
- Proficiency with MS Office, SharePoint, and customer management
software
- Intermediate level of proficiency in MS Office (Excel and
PowerPoint)
- Ability to travel 25% with in a market/state/region to meet
face-to-face with providers
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodationPreferred
Qualification:
- Solid analytical, critical reasoning and organizational skills
-To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment.Careers with
UnitedHealthcare. Let's talk about opportunity. Start with a
Fortune 5 organization that's serving more than 85 million people
already and building the industry's singular reputation for bold
ideas and impeccable execution. Now, add your energy, your passion
for excellence, your near-obsession with driving change for the
better. Get the picture? UnitedHealthcare is serving employers and
individuals, states and communities, military families and veterans
where ever they're found across the globe. We bring them the
resources of an industry leader and a commitment to improve their
lives that's second to none. This is no small opportunity. It's
where you can do your life's best work.(sm)*All Telecommuters will
be required to adhere to UnitedHealth Group's Telecommuter
PolicyDiversity 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.
Keywords: UnitedHealth Group, Cypress , Healthcare Provider Network Engagement Manager - West Region, Executive , Cypress, California
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