Manager of Provider Relations- Hybrid- New Jersey

UnitedHealth Group • East Brunswick, NJ

110d • $89,900 - $160,600 • Onsite

About The Position

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Manager of Provider Relations leads a team tasked with managing and nurturing relationships between the healthcare organization and its network of providers. This role is crucial for ensuring providers are informed, engaged, and satisfied with their interactions with the organization, ultimately impacting the quality of care delivered to patients. The Manager of Provider Relations is essential for maintaining a positive and productive relationship between healthcare providers and the organization. This role requires a strategic thinker with excellent managerial skills, deep knowledge of the healthcare industry, and the ability to maintain strong professional relationships. Effective performance in this role significantly impacts the quality of care and operational efficiency of the healthcare network.

Requirements

• 5+ years of experience in provider relations or network management within a healthcare setting
• 2+ years of experience in a managerial role
• Solid leadership and team management skills
• Excellent communication, negotiation, and interpersonal skills
• In-depth understanding of healthcare systems, provider operations, and relevant regulations (e.g., HIPAA, ACA)
• Willing to work a hybrid schedule of onsite office, field, and home
• Ability to travel up to 30% to frequent meetings, both in-office and at provider's locations, across the New Jersey market
• Ability to work standard office hours with occasional extended hours to meet project deadlines or resolve urgent issues
• Active driver's license and access to reliable transportation

Responsibilities

• Lead and manage the Provider Relations team, setting goals, monitoring performance, and providing training and development opportunities
• Develop strategies to enhance provider satisfaction and engagement
• Allocate team resources effectively to meet business objectives
• Support team in issue resolution and in provider relationship development
• Serve as the primary liaison between the organization and healthcare providers
• Organize and lead regular meetings with staff and providers to discuss updates, gather feedback, and address concerns
• Ensure providers have access to the necessary tools and resources to effectively manage their practices within the network
• Promptly address and resolve provider issues and disputes, including claims disputes, reimbursement concerns, and contractual matters
• Implement effective mechanisms for provider feedback and issue resolution to prevent future problems
• Address and resolve complex issues and disputes between providers and the organization
• Ensure all provider interactions comply with healthcare regulations, contractual agreements, and organizational policies
• Monitor and report on key performance indicators related to provider satisfaction, network utilization, and team productivity
• Prepare comprehensive reports and presentations for senior management
• Collaborate with other departments (such as claims, compliance, and customer service) to align provider relations strategies with overall business objectives
• Identify and implement improvements in provider communication, processes, and technologies to enhance overall efficiency and satisfaction

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Insurance Carriers and Related Activities