Provider Relations Manager - Remote

Davita Inc.; Boise (ID); Remote; USD 71,000 - 141,000; Full time

Job summary

A leading healthcare company is seeking a Provider Relations Manager to enhance provider claims processes and relationships. This role requires extensive experience in managed care and will involve coaching and process improvements to support providers effectively. The position offers the flexibility to work remotely and provides a comprehensive benefits package.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 3+ years healthcare/managed care experience.
• 3+ years provider-facing experience.
• 1+ years Medicare and Medicaid regulations experience.

Responsibilities

• Assist in end-to-end provider claims and help enhance call quality.
• Coach, provide feedback and guide others.
• Contribute to programs building relationships between health plan and providers.

Skills

Claims processing

Issue resolution

Coaching

Communication

Relationship management

Tools

MS Word

MS Excel

PowerPoint

Access

Job description

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.

As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.

We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together.

Why naviHealth?

At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy.

The Provider Relations Manager is part of a performance driven, fast paced organization that is serving multiple markets. This role has frequent interactions with senior management and physicians in communicating about ways to evolve ongoing processes and programs.

If you are located (preferably) in the Pacific or Mountain time zones you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Assist in end-to-end provider claims and help enhance call quality
• Coach, provide feedback and guide others
• Assist in efforts to enhance ease of use of physician portal and future services enhancements
• Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers
• Help implement training and development of external providers through education programs
• Identify gaps in network composition and services to assist network contracting and development teams

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:

• 3+ years of health care/managed care experience
• 3+ years of provider facing and/or provider network experience
• 1+ years of experience with Medicare and Medicaid regulations
• Intermediate level of proficiency in claims processing and issue resolution
• High proficiency with MS Word, Excel, PowerPoint, and Access
• Willing or ability to travel as needed

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.