Manager, Provider Relations - Remote

UnitedHealth Group•Austin, TX

22h•$72,800 - $130,000•Remote

About The Position

The Manager, Provider Relations supports the Director, Provider Relations and contributes to a team spanning markets, lines of business, and clients. The role helps develop and execute Market Operations strategy and improve provider outcomes. It requires collaboration, critical thinking, independence, leadership, strategic perspective, and attention to detail. The position works with market and clinical operations, data management, product teams, and provider networks to address operational priorities and improve network performance. The position is remote and requires the ability to establish a home office workspace, with travel and movement between local or regional sites up to 55% of the time. Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy. The annual salary range is $72,800–$130,000, based on full-time employment and other factors. Benefits include a comprehensive benefits package, incentive and recognition programs, an equity stock purchase plan, and 401(k) contribution, subject to eligibility requirements. Candidates must pass a drug test before beginning employment.

Requirements

At least 5 years of healthcare or managed care experience.
At least 3 years of provider relations and/or provider network experience.
At least 1 year of experience with Medicare and Medicaid regulations.
Intermediate proficiency in claims processing and issue resolution.
Proficiency with Microsoft Word, Excel, PowerPoint, and Access.
Willingness or ability to travel up to 55% of the time.
Driver’s license and access to reliable transportation.
Ability to establish a home office workspace.
Ability to manipulate a laptop computer or similar hardware between office and site settings, view the screen, and enter data within a standard period of time.
Ability to communicate with clients and team members, including use of a cellular phone or comparable communication device.
Ability to remain stationary for extended periods of 1–2 hours.
Ability to mobilize to and within sites in an assigned local or regional market or area, including by car, up to 55% of the time.
Remote employees must adhere to UnitedHealth Group’s Telecommuter Policy.
Candidates must pass a drug test before beginning employment.
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, including with C-suite decision makers and operators.
Ability to influence and educate others.
Willingness to work toward team objectives.
Self-starter with effective communication skills.
Excellent presentation skills and high emotional intelligence.
Comfortable multitasking and operating in a matrixed organization.

Nice To Haves

Skilled Nursing provider experience.

Responsibilities

Collaborate with Market and Clinical Operations teams to support service and product revenue growth and improve stakeholder satisfaction.
Support Executive Directors and the Director of Clinical Operations on network initiatives and operational priorities.
Work with Data Management teams to help resolve claims issues and improve provider performance tools for multiple levels of care.
Support companywide initiatives to market the enterprise and advance Provider Operations.
Partner with Product Teams to ensure new developments align with provider expectations and operational needs.
Compile and summarize claims-based performance data to support change management at acute and PAC levels, and help develop actionable recommendations that advance network performance and meet internal KPI goals.
Gather and analyze provider feedback to help develop action plans that improve network performance.
Coordinate tasks and monitor progress in support of strategic initiatives within the provider network.
Evaluate the impact of regional and national providers on market performance and provide insights to leadership.
Prepare and deliver supporting materials for presentations on provider performance tools to various audiences.
Manage provider escalation resolution processes across the market, ensuring consistent reporting and practices to reduce provider abrasion.