SanJoseCARecruiter Since 2001
the smart solution for San Jose jobs

Director of Provider Relations - Telecommute AK

Company: UnitedHealth Group
Location: San Jose
Posted on: November 24, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) If you are located in Anchorage, AK, you will have the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities:

  • Implement the Alaska Medicaid Provider Capacity and Support program to increase provider types and levels of care in all regions of the state
  • Maintain the provider training plan in collaboration with the state customer
  • Identify and resolve technical, operational, and organizational problems
  • Oversee provider communication, such as statewide notifications, publications, resolving provider inquiries, etc.
  • Understanding and explaining complex claims processing issues to staff for them to communicate to providers 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:
    • 5+ years of experience in the health care industry
    • 5+ years of experience with understanding billing and claims processing rules for behavioral health claims
    • 3+ years of experience in an Alaska Medicaid-related role handling complex providers with accountability for business results
    • Expert level of knowledge of Alaska Medicaid reimbursement methodologies and Alaska Medicaid regulations
    • Reside within state of Alaska Preferred Qualifications:
      • Undergraduate or higher-level degree
      • 5+ years leadership/supervisory experience
      • 2+ years of experience with provider contracting for behavioral health
      • 2+ years of experience in the development of product pricing and utilizing financial modeling in making rate decisions
      • 2+ years of experience managing a medical cost and administrative budget
      • Excellent customer service skills
      • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others, including but not limited to reimbursement policy standards
      • Solid interpersonal skills, establishing rapport and working well with others
      • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment 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) All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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.

Keywords: UnitedHealth Group, San Jose , Director of Provider Relations - Telecommute AK, Executive , San Jose, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

San Jose RSS job feeds