UnitedHealth Group

Senior Physician Business Manager - Houston, TX

UnitedHealth Group • $72K — $130K *
Houston, TX 77084In-Person
Healthcare
5 - 7 years of experience
1 week ago
Job Overview by Ladders

Qualifications

  • 5+ years of experience in health plan settings or network management
  • Knowledge of Managed Care and Medicare programs
  • Strong relational skills for developing positive working relationships
  • Ability to conduct and facilitate strategic meetings effectively
  • Solid analytical and critical thinking capabilities
  • Exceptional interpersonal skills for diverse interactions
  • Proficiency in Microsoft Word, Excel, and PowerPoint

Responsibilities

  • Analyze risk pool and provider group performance for improvement opportunities
  • Develop strategies aligning provider groups with company goals
  • Create action plans to meet quality and financial metrics
  • Direct local Physician Business Managers and serve as their expert
  • Solve problems using data and collaboration
  • Collaborate on strategic plans with Medical Directors
  • Publish and distribute client and operational reports

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase option
  • 401k contribution
  • Robust opportunities for career development
Full Job Description
This position functions as a subject matter expert in network operations. This position strives to bring consistency and experience to existing Physician Business Managers in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize and assist the local Physician Business Managers in achieving short and long term operational/strategic business goals/ by developing, enhancing and maintaining operational information and models. They also develop, in conjunction with the local Director/Manager, and implement effective/strategic business solutions through research and analysis of data and business processes.

General Profile:

  • Analyzes risk pool and provider group performance to determine areas of focus or improvement opportunities
  • Develops strategies to align contracted provider groups with company initiatives, goals (revenue and expense) and quality outcomes
  • Create and develop action plans to achieve metrics in quality, coding and financial performance
  • Provides explanations and interpretations within area of expertise
  • Provides daily direction and guidance to existing local Physician Business Managers and acts as the subject matter expert for their assign area


Job Scope:

  • Uses pertinent data and facts to identify and solve a range of problems through experience, research and collaboration
  • Assists local Physician Business Managers with investigating non-standard requests and problems
  • Prioritizes and organizes assigned workload of local Physician Business Managers is able to meet deadlines while delivering the best outcomes possible
  • Provides explanations, direction and information to others on topics within area of expertise
  • Collaborates with local Medical Director(s) to monitor utilization trends and profit pools to assist with developing strategic plans to improve performance


Primary Responsibilities:

  • Solid analytical skills required to support, compile and report key information
  • Drive processes and technology improvement initiatives that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.)
  • Use data to identify trends, patterns and opportunities for the business and clients. Develop business strategies in line with company strategic initiatives
  • Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities
  • Evaluate and drive processes, provider relationships and implementation plans
  • Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products
  • Collaborate with other Physician Business Manager- Area Leads to foster teamwork and build consistency throughout the market
  • Serves as a liaison to the health plan and all customers


Additional Job Information:

  • Requires strong presentation skills, problem solving and ability to manage conflict and identify resolutions quickly
  • Have the ability to communicate well with physicians, staff and internal departments


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 of experience in a related medical field or health plan setting (network management, contracting and/or recruitment, or provider relations)
  • Knowledge of Managed Care and Medicare programs
  • Ability to develop long-term positive working relationships
  • Ability to communicate and facilitate strategic meetings with groups of all sizes
  • Solid business acumen, analytical, critical thinking and persuasion skills
  • Exceptional interpersonal skills with ability to interface effectively internally with all levels of staff and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA's, the press and community organizations
  • Solid verbal and written communication skills
  • Proficiency in Microsoft Word, Excel and PowerPoint


Preferred Qualifications:

  • Risk Adjustment knowledge related to CMS reimbursement models
  • Ability to act as a mentor to others


Physical & Mental Requirements:

  • Ability to lift up to 25 pounds
  • Ability to push or pull heavy objects using up to 25 pounds of force
  • Ability to sit for extended periods of time
  • Ability to use fine motor skills to operate office equipment and/or machinery
  • Ability to receive and comprehend instructions verbally and/or in writing
  • Ability to use logical reasoning for simple and complex problem solving


Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Healthcare
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ
UNH
* Ladders Estimates

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