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Job Information

UnitedHealth Group Manager - Provider Services - Oklahoma City, OK in Oklahoma City, Oklahoma

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)

The Manager, Provider Services serves as both a staff leader and operational data analyst to support markets / regions performance. This includes facilitating projects with oversight to drive process improvements change to improve performance, outcomes with communicating results and risk to leadership. This position is responsible for the daily oversight of service model failures within the market impacting provider satisfaction, collaborates with internal and external business partners to ensure staff performance on multiple market-aligned operations functions and communicating with market leadership on staff’s provider engagement and performance. The scope of this role will expand as additional operations functions are aligned to market teams.

Primary Responsibilities:

  • Supports Director with staff budget, influences forecasting of provider engagements and planning activities

  • Monitors markets performance against internal and/or external service level agreements

  • Aggregates available data into applicable tools and reports in order to facilitate market / regional performance review and analysis

  • Supports Director with market / regional operational performance reports to identify opportunities and measure/communicate process improvements to improve provider administrative performance

  • Facilitates and leads projects impacting process improvements in markets / regions to improve operating efficiencies

  • Creates leadership presentations requested by Director

  • Identifies opportunities to enhance Advocate daily job responsibilities and creates new process to improve staff efficiency

  • Navigates and engages within UHG leadership drive change impacting provider NPS

Secondary Responsibilities:

  • Leads staff to ensure they are adequately trained on claims platforms to ensure adequate root cause claims analysis

  • Engages with Advocates on issue resolution to ensure issues are handled timely with a positive outcome

  • Supports Advocates with resources to escalate provider issues that require business partners engagement for resolution

  • Empowers staff to bring forth suggestions on process improvements to reduce inefficiencies and rework

  • Oversees and manages staff educational needs affecting staff and providers

  • Engages and monitors staff’s engagement with the markets providers on operational visits, JOC, PIE’s, Town Halls, Industry Meetings and all other provider events to ensure providers are trained on UHG policies and processes to ensure practice administrative efficiency

  • Coordinates large events (Provider Information Expo’s) with market team to ensure events delivers maximum value and collaboration with providers

  • Has oversight of staff to ensure they are trained on event tracking documentation systems (Impact) and are documenting accurately for successful reporting outcomes

  • Is knowledgeable of reporting suites to monitor staff’s documentation of provider meeting to ensure obtaining MBO metrics are achieved

  • Coaches staff as needed on accuracy of provider visit documentation

  • Guide staff on utilization of systems and tools to guide provider to transform their administrative inefficiencies to reduce administrative burdens

  • Work effectively across the UHG Enterprise including collaborating with key business area (Maybe list key areas, UHN, Optum, Clinical, EDI technology) to resolved provider issues and improve outcomes proactively for providers

  • Serves as a primary contact and resolution lead for UHG executive provider escalations in their assigned market(s). Interact with key leaders from large health systems and provider organizations

  • Manages staff in preparation of network contract negotiations to ensure outstanding root causes are identified and remediate to increase URCT

  • Manages and resolves issues impacted by providers non-standard contract by identifying and creating process to remediate claims risk of paying incorrectly

  • Monitors Qualtrics NPS Provider surveys to resolve outstanding issues and seeks opportunities of improvement. Engages with staff on NPS survey outcomes to ensure level of services exceeds the providers expectations

  • Manages yearly staff evaluations and support staff with career development

  • Messages the PMO leadership message as a culture leader for staff transitioning from multiple teams to the market-aligned structure. Demonstrates our Operations vision and inspires employees to Dare Mighty Things and Make It Simple, Make It Right, Make a Difference

You’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:

  • 5+ years in health care, health insurance or provider experience

  • 3+ years of project management expertise or data management

  • Proficient in Impact knowledge, set up and application functionality

  • Intermediate level of proficiency with MS Office, SharePoint, Teams

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Undergraduate degree or equivalent experience in Healthcare Management, business, or a related field

  • Oklahoma Medicaid experience

  • Solid proficiency with CSP-FACETS

  • Proficient in MS Excel with reporting analytic knowledge

  • Excellent verbal and written communication skills

  • Solid analytical, critical reasoning and organizational skills

  • Strong interpersonal skills with ability to interface effectively both externally and internally with a wide range of people including executives, physicians, office staff and other health plan staff

  • Ability to effectively drive results in a dynamic, matrixed environment with a high degree of organizational change, growth and ambiguity

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 7 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)

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, Program Management, Provider Services, Provider Operations, Manager, Senior Manager, C&S, Community & State, Medicaid, Oklahoma City, OK, Oklahoma