UnitedHealth Group

Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic

UnitedHealth Group$60K — $107K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of professional level experience in clinic or healthcare operations
  • Proficient in CPT and ICD-10 coding with knowledge of reimbursement methodologies
  • Expertise in claims processing and clinic operations within managed care
  • Experience in network development and provider relations
  • Skilled in Microsoft Word and Excel for data management
  • Strong analytical and problem-solving capabilities
  • Excellent public speaking and presentation skills

Responsibilities

  • Provide educational support to physicians and staff on health plan products
  • Act as the primary contact for affiliated providers, addressing quality outcomes and satisfaction
  • Educate providers on claims payments and managed care policies
  • Perform routine visits to physician offices to facilitate network growth
  • Manage local travel extensively to maintain provider relationships

Benefits

  • Comprehensive benefits package including health and wellness programs
  • Incentive and recognition programs to acknowledge employee performance
  • Opportunity for equity stock purchase
  • 401k contributions with eligibility requirements
  • Flexible benefits to suit a variety of employee needs
Full Job Description
The Senior Provider Relations Liaison is responsible for establishing and maintaining solid positive business relationships with current and potential Kelsey-Seybold and KelseyCare Advantage affiliate and employed providers to ensure stable and geographically disperse networks for the Kelsey-Seybold commercial and Medicare Advantage health plans and KS Plan Administrators' health plan products.

Primary Responsibilities:

  • Responsibilities include providing educational instruction and support to physicians and their staff
  • Be the main point of contact for the respective providers and will routinely visit physician's offices for issues concerning the achievement of quality outcomes, provider satisfaction, medical cost targets, network growth and/or efficiency targets
  • Responsibility for education of the physicians and office staff on health plan products and benefits, policy and procedure for multiple managed care plans, assistance with claims payments and other duties as assigned
  • Travel requirements - local and extensive


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 professional level experience in clinic or healthcare operations
  • CPT and ICD-10 coding and prior experience with reimbursement methodologies
  • Proven knowledge of claims processing, clinic operations, managed care plan benefits and utilization management policies and procedures
  • Network development and/or provider relations experience
  • Microsoft Word and Excel experience
  • Proven analytical and problem-solving skills; ability to communicate effectively in writing and verbally
  • Proven public speaking and presentation skills
  • Valid Texas Driver's License and ability to travel
  • Own or lease a working vehicle and be able to travel daily within the Greater Houston area


Preferred Qualifications:

  • 5+ years of experience in applicable healthcare administrative operations
  • 3+ years of experience in Medicare/Commercial products
  • Ability to interpret provider contracts and regulatory contracts
  • Experience with the development of provider relations and/or clinical networks
  • Ability to work in a fast-paced environment; demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines
  • Proficiency with Excel and/or PowerPoint
  • Excellent communication and relationship development skills with multiple different types of stakeholders. Outcomes driven
  • Capable of managing a variety of complex issues while driving momentum of key projects


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 $60,200 - $107,400 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
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

Similar Jobs

More Jobs at UnitedHealth Group

More Healthcare Jobs

Find similar Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic jobs: