OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
United Behavioral Health, a UnitedHealth Group company, is a leading provider of emotional wellness services. Currently serving over 22 million Americans, our innovative solutions include behavioral health, employee assistance, work/life and pharmacy management services, as well as a unique disability support program. We offer specialized, confidential support to help our members live and work well, and excellent resources and rewards for your career so you can do the same. A healthy business awaits you at UBH.
Our Clinical Network Services Department is looking for a decisive, energetic Network Manager to join the California team located in our San Francisco, California office. This a fast-paced position provides exciting opportunities for professional growth with a Fortune 100 Company as well as the opportunity to work with talented team of professionals. The hired individual will recruit new providers and maintain the current provider network. He/she will also look for areas to improve the processes and direct quality assurance initiatives.
Key responsibilities include:
- Managing a network of behavioral health physicians, clinicians and facilities/programs.
- Identifying network gaps and recruiting physicians, clinicians and facilities/programs to meet these needs.
- Acting as liaison between providers and UBH to resolve problems that arise
- Consistently identifying areas for process improvement and participating in these initiatives
- Participating in quality assurance initiatives
- Interaction and collaboration with care advocacy centers
- Interactions with sales/marketing organization
- Managing multiple projects/priorities with short deadlines
- Local travel to meet with large key provider groups/facilities
Positions in this function are accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. 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. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.
- Analyzes and investigates.
- Provides explanations and interpretations within area of expertise.
At OptumHealth, you will perform within an innovative culture that's focused on . You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
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