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Optum Care Delivery
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1 - 25 Results of 43
Optum Care Delivery
Amarillo, Texas, United States (on-site)
21 days ago

Description

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

Positions in this function conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. They support short and long-term operational/strategic business activities - by developing, enhancing and maintaining operational information and models. They also develop and implement effective/strategic business solutions through research and analysis of data and business processes. Solid interpersonal relationship and communication skills required.

General Profile:
  • Account management of contracted physicians and practices
  • Aligns contracted providers with company initiatives, goals (revenue and expense) and quality outcomes
  • Analyzes and investigates
  • Provides explanations and interpretations within area of expertise

Job Scope:
  • Uses pertinent data and facts to identify and solve a range of problems expertise
  • Investigates non-standard requests and problems, with some assistance from others
  • Prioritizes and organizes own work to meet deadlines
  • Provides explanations and information to others on topics within area of expertise

If you are Residing in Amarillo, TX, an has the ability to travel up to 75% you will have the flexibility to work remotely* as you take on some tough challenges.

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
  • Serves as a liaison to the health plan and all customers

Additional Job Information:
Requires solid 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:
  • Undergraduate degree or equivalent work experience
  • 5+ years of experience in the medical field or health plan setting required
  • Knowledge of Managed Care and Medicare programs
  • Experience giving group presentations/training
  • Proficiency in Microsoft Word, Excel and PowerPoint is required
  • Ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals
  • Ability to travel 75% of the time
  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor's diagnosis of disease
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:
  • Bachelor’s Degree
  • Certified Coder
  • Professional provider relations experience involving physicians and administrative staff.
  • Risk adjustment experience
  • Excellent verbal and written communication skills
  • Excellent business acumen, analytical, critical thinking, and persuasion skills
  • Solid work ethic & desire to succeed
  • Ability to develop long term relationships
  • Ability to sit down with medical groups of all sizes and develop joint action/work plans
  • Ability to work independently, use good judgment and decision-making process
  • Ability to resolve complete problems and evaluate options to implement solutions
  • Ability to work occasional evenings and weekends, as needed for business
  • Ability to adopt quickly to change in an ever-changing environment

Physical & Mental Requirements:
  • Ability to lift up to 100 pounds
  • Ability to push or pull heavy objects
  • Ability to sit for extended periods of time
  • Ability to stand for extended periods of time
  • Ability to use fine motor skills to operate office equipment and/or machinery
  • Ability to properly drive and operate a company vehicle
  • Ability to receive and comprehend instructions verbally and/or in writing
  • Ability to use logical reasoning for simple and complex problem solving
  • Ability to work under stressful conditions and/or irregular business hours

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

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

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

Job Information

  • Job ID: 66758113
  • Workplace Type: On-Site
  • Location:
    Amarillo, Texas, United States
  • Company Name For Job: Optum Care Delivery
  • Position Title: Physician Business Manager - West TX - Remote in Amarillo, TX with 75% travel
  • Sector: Other
  • Discipline: Any
  • Job Type: Full-Time

Please refer to the company's website or job descriptions to learn more about them.

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