Director Provider Services

UnitedHealth   •  

Warwick, RI

Industry: Healthcare

  •  

5 - 7 years

Posted 167 days ago

This job is no longer available.

Position Description

You’ve been working your way to this opportunity for some time now.  You’ve learned to lead. You’ve build a deep expertise in health care network operations.  You’ve set your sights on having more impact in more ways. It’s time to join our leadership team and help UnitedHealth Group meet the challenge of shaping where health care will go. We’re 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. In this leadership role, you’ll use your strong background in provider services to lead teams with the goal of ensuring quality of interactions and performance of providers in our networks. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.     Primary Responsibilities:

  • Oversee end-to-end performance of provider network servicing and performance
  • Identify and resolve technical, operational and organizational problems
  • Adapt departmental plans and priorities to address business and operational challenges
  • Drive the design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
  • Ensure implementation of training and education programs for external providers
  • Identify gaps in network composition and services to assist networkcontracting and development teams

Ready for a challenge of a lifetime? You’ll lead a performance driven, fast paced organization as you track and implement market trends, develop future strategies and build out financials. You’ll need to drive a high sense of urgency for escalations around claims issues and payment agreements across your teams. Required Qualifications:

  • 5+ years of provider relations experience
  • 5+ years of supervisory experience
  • At least an intermediate level of knowledge of claims processing
  • 3+ years of experience with Medicare and Medicaid regulations
  • Exceptional presentation, written and verbal communication skills
  • Proficiency in MS Word, PowerPoint, Excel and Access

Preferred Qualifications:

  • Undergraduate degree.

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