Job: Provider Relations Advocate - San Francisco

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Jobing Description

United Behavioral Health, a UnitedHealth Group company, is a leading provider of emotional wellness services. 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 Network Services Department is looking for a decisive, energetic Network Manager to join the Western Region Team located in our San Francisco office. This 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
-Reviewing contract language and reimbursement methodologies
-Managing multiple projects/priorities with short deadlines
-State to state travel to meet with large key provider groups/facilities
-Staff management of small support team

UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.

Keywords: healthcare, insurance, managed care, network management, provider relations, negotiating skills, contract negotiation, RBRVS, project management, leadership, Network Development, network services, billing, claims, credentialing, recruiting, recruitment, issue resolution, problem solving

Skills / Requirements

This position requires provider network management or provider relations experience preferably within a behavioral health environment, along with keen analytical and negotiation skills.

- Undergraduate degree (Master degree preferred)
- 2+ years of provider relations and/or provider network experience.
- Intermediate level of proficiency in claims processing and issue resolution.
- Exceptional presentation, written and verbal communication skills.
- Ability to work independently and remain on task.
- Good organization and planning skills.
- Ability to prioritize and meet deadlines from multi-staff members within the department.
- Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access

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.

OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. 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.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.