Provider Relations Manager, Specialty - Arcadia, CA

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

This position is accountable for the full range of provider relations and service interactions including working on end-to-end provider claim and quality, ease of use of physician portal and future service enhancements, and training & development of external provider based programs.

Primary Responsibilities

• Designs and implements programs to build and nurture positive relationships between the health plan, providers and practice managers
• In collaboration with leadership, directs and implements strategies relating to the development and management of a provider network
• Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs
• Participate in developing and implementing strategies that focus on optimizing provider practices in the areas of quality metrics, population health, and membership growth
• May also be involved in identifying and remediating operational short-falls and researching and remediating claims
• Daily work is self-directed and not prescribed
  
  

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

• 3+ years of experience in healthcare industry with focus on managed care
• Proven to assess and interprets customer needs and requirements
• Proven to identify solutions to non-standard requests and problems
• Proven to solve moderately complex problems and/or conducts moderately complex analyses
• Proven ability to work with less structure and minimal guidance
• Proven to translate concepts into practice
• Proven to provide explanations and information to others on difficult issues
• Proven to coach, provide feedback, and guide others
• Proven to act as a resource for others with less experience
• Driver’s License and access to a reliable transportation
  
  

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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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