Sr. Physician Business Manager - San Antonio, TX (879826)

Position Description

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient’s health. WellMed’s proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.

There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in. You’ll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 6 leader.  

Primary Responsibilities

• Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
• Expertise in physician/facility/ancillary contract reimbursement methodologies
• Lead cross functional teams and drive the team to successfully complete the objectives
• Engage with local provider organizations to support, augment and accelerate efforts to improve operational coordination of patient care
• Research and proactively seek to fill in knowledge gaps in key functional areas
• Provide/ensure training to applicable audiences, as needed
• Ensure project documentation is accurate and all projects are completed on time and within scope
• Analyze project outcomes and make appropriate recommendations to improve outcomes/processes moving forward
• Collect/synthesize best practices from across a network of provider organizations
• Meet and / or exceed client service level provider relations expectations
• Manage provider relationships that require frequent contact; includes large, regional and complex clients
• Create and present PowerPoint provider education decks
• Document activities and report on progress, utilizing tools and job aids as requested by manager, on a consistent, timely and accurate basis
• Plan, conduct, and / or participate in special projects as directed by management or when supporting individual performance goals

In this role, you’ll be part of a performance driven, fast paced organization that is serving multiple markets. You’ll have frequent interactions with senior management and physicians as you communicate about ways to evolve ongoing processes and programs. 

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

• High school diploma or equivalent experience
• 5+ years of health care/managed care experience
• 3+ years of provider relations and/or provider network experience
• Experience with Medicare and commercial health plan population.
• Proficiency with MS Word, Excel, PowerPoint and Access

Preferred Qualifications

• Undergraduate degree

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth. 

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

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.   

Job Keywords:  health care, managed care, provider relations, San Antonio, TX, Texas