United Health Care Jobs – Health Plan Provider Liaison Manager

Job Description:

This Health Plan Provider Liaison Manager serves as an operational leader by managing and overseeing staff engagement, along with interacting directly and managing provider relationships in support of the Community Plan of North Carolina. This position is responsible for oversight and resolution of service model failures within the market impacting provider satisfaction. The role collaborates with internal and external business partners to ensure highest levels of provider Net Promotor Score (NPS) and provider satisfaction and works as part of the health plan leadership team.

Job Responsibilities:

• Supports team and health plan leaders with resources to escalate provider issues that require business partners engagement for resolution
• Manages yearly staff evaluations and support staff with career development
• Oversees and manages staff educational needs affecting staff and providers
• Engages and monitors staff’s engagement with the providers on operational visits, joint operating committees, town halls and other provider events
• Engages with team members on issue resolution to ensure issues are handled timely with a positive outcome
• Drives highest levels of provider satisfaction and Net Promoter Score (NPS)
• Work effectively across the UHG Enterprise including collaborating with key business area (including network operations, Optum, Clinical, IT, Claims Operations, Call Centers, and other functional areas) to resolve provider issues and improve outcomes proactively for providers
• Serves as a primary contact and resolution lead for Health Plan executive team and State Partner provider escalations
• Interact with key leaders from large health systems and provider organizations
• Leads staff to ensure performance expectations and goals are being achieved in alignment with organization’s mission and values

Job Requirements:

• Solid analytical, critical reasoning and organizational skills
• Good organization and planning skills with ability to work independently
• Possess a valid driver’s license, reliable transportation, and current automobile insurance
• Experience managing remote workers
• Bachelor’s or Master’s degree
• 3+ years of experience managing a team
• Sound interpersonal skills with ability to interface effectively both externally and internally with a wide range of people including executives, physicians, office staff and other health plan staff
• Experience working in the billing department of a physician’s office and/or hospital
• Travel up to 50% of time within this NC market area
• Experience giving professional presentations to all levels of organization
• Exceptional presentation skills
• 3+ years project management expertise
• Ability to prioritize and meet deadlines from multi-staff members within the department
• 5+ years of provider relations or network management experience

Job Details:

Company:  UnitedHealthcare

Vacancy Type:  Full Time

Job Location: High Point, NC, US

Application Deadline: N/A

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