Associate Director, Client Services - Remote in Ohio

UnitedHealth Group; Columbus (OH); Remote; USD 89,000 - 177,000; Full time

Job summary

Ein innovatives Unternehmen im Gesundheitswesen sucht einen erfahrenen Manager für Netzwerkentwicklung, um die Leistung und das Management von Anbietergruppen zu optimieren. In dieser spannenden Rolle werden Sie strategische Geschäftsziele unterstützen und die Beziehungen zu Anbietern pflegen, um die finanzielle Lebensfähigkeit des Marktes zu sichern. Sie werden ein Team leiten, Prozesse verbessern und eng mit klinischen und operationellen Teams zusammenarbeiten, um die Qualität der Versorgung zu gewährleisten. Wenn Sie leidenschaftlich daran interessiert sind, die Zukunft der Gesundheitsversorgung zu gestalten, ist dies die perfekte Gelegenheit für Sie.

Benefits

Umfassende Gesundheitsleistungen

Incentive-Programme

Aktienoptionspläne

401k-Beiträge

Qualifications

• 5+ Jahre Erfahrung in der Netzwerkentwicklung und im Beziehungsmanagement.
• Kenntnisse über Medicare-Betrieb und HEDIS sind erforderlich.

Responsibilities

• Leitung der täglichen Kundenservice-Operationen und Überwachung eines Teams von Account Managern.
• Analyse der Leistung von Anbietergruppen zur Identifizierung von Verbesserungsmöglichkeiten.

Skills

Netzwerkentwicklung

Beziehungsmanagement

Medicare-Betrieb

HEDIS-Kenntnisse

HCC-Codierung

Job description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Position Overview

The purpose of this position is to support physician management objectives through participation in design, development, and tactical implementation of strategic business objectives. The goal is successful retention, management, and performance of assigned provider groups and pools, ultimately driving the financial viability of the market and providing a full continuum of care for members.

Key Responsibilities

1. Manage day-to-day client service operations and oversee a team of Account Managers.
2. Analyze provider group performance to identify areas for improvement and develop strategies aligned with company goals.
3. Drive process improvements impacting revenue, quality metrics, coding, and documentation.
4. Facilitate strategic business meetings with provider groups and develop staff to support these initiatives.
5. Handle provider inquiries and issues, ensuring strong relationships are maintained.
6. Collaborate with clinical and operational teams to create and evaluate strategic plans.
7. Ensure staff development through hiring, training, coaching, and performance management.
8. Communicate effectively with internal and external stakeholders to meet organizational goals.

Qualifications

• 5+ years of experience in network development/provider relations, including management experience.
• Knowledge of Medicare operations, HEDIS, HCC Coding, and Medicare Advantage.
• Willingness to travel as needed and valid driver’s license.

Additional Information

This remote role is based in Ohio. Salary ranges from $89,800 to $176,700 annually, depending on experience and other factors. Benefits include comprehensive packages, incentive programs, stock purchase options, and 401k contributions.

Application deadline: Minimum of 2 business days or until a sufficient candidate pool is reached.

UnitedHealth Group is committed to diversity, equity, and inclusion, aiming to address health disparities and promote equitable care. We are an Equal Employment Opportunity employer and a drug-free workplace.