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Director, Provider Relations - Telecommute

Company: UnitedHealth Group
Location: Saint Louis
Posted on: August 7, 2022

Job Description:

naviHealth, part of Optum and the UnitedHealth Group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. Join our team, it's your chance to improve the lives of millions while doing your life's best work.(sm) The Director, Provider Relations is responsible for leading a team that spans across markets, lines of business and clients. This position assists the Market President in developing and executing the strategy and performance of the provider network and network outcomes. This is a collaborative role requiring critical thinking skills, independence, leadership, a strategic mindset, and attention to detail. This Central South market includes TX, OK, AR, MO and KS 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. If you are located in TX, OK, AR, MO and KS, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities:

  • Work closely with Sales to support service and product revenue growth, customer acquisition and customer satisfaction
  • Partner with Executive Directors and Director of Clinical Operations to support network initiatives
  • Work closely with Data Management teams on claims processing, resolution issues, and provider performance tool enhancements to better serve the PAC environment
  • Support companywide initiatives, marketing the naviHealth brand and evolving Provider Operations
  • Work closely with Product Teams to ensure new developments align with provider expectations
  • Analyze, summarize, and supports claims-based change management performance at acute and PAC levels anticipating and creating actionable plans that drive network performance change at the client level supporting the Market President and Director, Clinical Operations' internal KPI goals
  • Analyze, summarize, and create action plans using the semi-annual Provider Satisfaction Survey results
  • Remain current on all regulatory changes in the acute and post-acute care environment
  • Drive performance and execute on strategic initiatives within the provider network
  • Understand and influence the impact of regional/national providers in the market
  • Inform pay for performance modeling for clients
  • Collaborate with clients to develop or narrow networks to high performing
  • Speak to naviHealth products such as provider portal, nH Perform, nH Pulse and nH Predict
  • Direct the activities of Network Managers including hiring, onboarding, and professional development activities
  • Develop, analyze, and deliver RFI/Service Capability requests/ Collaboration Agreements
  • Support clients in contract negotiation activity and re-writes
  • Serve external customers - oversee provider advisory councils and manage provider grievances/complaints
  • Represent the Network/Provider Engagement Team in requests for strategic alliances with providers as well as trade agencies 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. Competencies:
    • Detail-oriented with the ability to independently plan, organize and prioritize work
    • Ability to complete initiatives with minimal supervision
    • Ability to build and foster relationships inside and outside the organization
    • Ability to influence and educate others
    • A willingness to work toward team objectives
    • Self-starter with effective communication skills
    • Excellent presentation skills with high Emotional Intelligence Required Qualifications:
      • 10+ years of experience working with providers, payors or clients in health care related fields
      • 5+ years of experience leading teams, or programs, or projects, or performance initiatives
      • Proficiency with Microsoft Office applications
      • Ability to travel 50% of the time may be required
      • 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 or Master's degree in Business or a Health Care related field
        • 5+ years of experience in people management
        • Solid analytical experience
        • Solid knowledge in Acute and Post-Acute Care Continuum
        • Managed care, health plan operations in provider contracting, customer service or provider relations
        • Proven effective negotiation and influencing skills
        • Proven brand promotion and management skills 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 naviHealth, part of Optum and the UnitedHealth Group family of businesses, combines the talents of our dedicated staff and leading-edge technology to deliver compassionate care to seniors nationwide. With millions of lives touched, we are innovating the way health care is delivered from hospital to home so seniors can lead more fulfilling lives. A career with us means making an impact in the lives of those we serve, including vulnerable populations who benefit from care that is more efficient, more effective and more human. Our environment empowers our team members to elevate our interactions with each other and the experiences we deliver to our patients, giving them more days at home. Join our team, it's your chance to improve the lives of millions while doing your life's best work.(sm) *All Telecommuters 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. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, St. Louis , Director, Provider Relations - Telecommute, Executive , Saint Louis, Missouri

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