UnitedHealth Group Healthcare Advocate / Market Consultant – Telecommute within Houston, TX in Houston, Texas
Expanding access to affordable, high quality health care starts here.
This is where some of the most innovative ideas in health care are created every day.
This is where bold people with big ideas are writing the next chapter in health care.
This is the place to do your life's best work.(sm) The Healthcare Advocate, Market Consultant is responsible for the full range of provider relations services within UnitedHealth Group. NOTE: The position will be based in Houston, TX Primary Responsibilities: Function independently, meeting with physicians to discuss OPTUM tools and programs focused on improving the quality of care for Medicare & Medicaid Advantage Members Utilize data analysis, identify and target providers who would benefit from our Medicare & Medicaid Risk Adjustment training and documentation / coding resources Educate providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status Reach out to physicians, medical groups, IPAs, and PHO’s, to build positive, long-term, consultative relationships Develop comprehensive, provider-specific plans to increase their RAF performance Train providers on our Risk Adjustment programs and tools, and work toward the adoption of these programs in to their practices Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment education efforts Required Qualifications: Undergraduate degree 3+ years of experience working in the health insurance or health services industries 3+ years of provider network management, physician contracting, healthcare consulting, Medicare Advantage sales or Pharmaceutical sales experience Knowledge of Managed Care and Medicare programs Excellent written and oral communication skills with internal and external business partners and employees Strong business acumen and analytical skills Exceptional presentation skills Ability to develop long term relationships Strong influencing and negotiation skills Results-orientation; must be self-motivated and goal oriented and able to work under ambiguity; good work ethic and desire to succeed Strong process and project management skills Ability to work independently and remain on task; ability to prioritize and meet deadlines Good organization and planning skills Intermediate (or better) level of proficiency in MS Excel skills Ability to travel as necessary; daily travel within the designated market area and possible monthly travel outside their designated market Preferred Qualifications: Bi-lingual in English and Spanish Graduate degree Experience giving group presentations Prior experience with commercial and Medicare regulations Careers with Optum.
Here's the idea.
We built an entire organization around one giant objective; make health care work better for everyone.
So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.
For you, that means working on high performance teams against sophisticated challenges that matter.
Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) 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: El Paso, Texas, Physician consulting, pharmaceuticals, consulting, managed care, telecommute, work from home, contracting, reporting, data, bilingual . 622797ee-8f0e-47e9-974a-28dcc0dcd436
Healthcare Advocate / Market Consultant – Telecommute within Houston, TX Texas-Houston 682827