Provider Network Contracting Specialist – La Crosse, WI or Telecommute
At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone
LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans.
By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.
LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on-location services, patient-specific in-clinic appointments, telehealth assessments, or any combination based on customer need. LHI’s customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
There’s an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life’s best work.
The Provider Network Contractor (LHI) will assist the Provider Network Supervisor with quality service monitoring, performance feedback and prioritizing of daily tasks in order to meet departmental task initiatives. Foster communication between Provider Network Specialists and internal/external customers in a high volume, fast paced, deadline driven and goal structured environment. Provide support to staff in order to ensure that LHI’s contractual obligations and the departmental objectives are achieved.
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Your expertise in provider networks can help us build in the next phase of evolution. In this role, you’ll use your expertise and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Support and develop staff in an effort to communicate with internal and external customers more effectively
- Troubleshoot issues related to internal and external customers. Provide responses to Customer Satisfaction Surveys and Contract discrepancy reports after research of these concerns. Determine appropriate outcome of provider status based on research performed
- Mentors/monitors the efforts for the recruitment and contracting of providers – including fee negotiation, manual assignment of orders and retrieval of missing exam documents
- Implement and enforce policy and procedure modifications to Provider Network Specialists
- Report task numbers and order status to department Supervisor and Manager
- Participate in miscellaneous duties as assigned
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 / GED
- 1+ years related experience (provider relations, network management, customer service, negotiations)
- Demonstrated leadership experience, ability to lead the activities of others
- Proficient experience with Microsoft Outlook (email and calendar)
- Proficient experience with Microsoft Office (word and excel)
- Ability to convey complex information to others and make it more easily understood
- Excellent team work and leadership skills; ability to perform detailed work with a high degree of accuracy
- Strong analytical thinking; multi-tasking, organizational and time management skills
Preferred Qualifications:
- Undergraduate degree or equivalent work experience
- Medical, dental or healthcare insurance experience
- Database experience
- 3+ years’ experience with network or data management
Careers with LHI. Our focus is simple. We’re innovators in cost-effective health care management. And when you join our team, you’ll be a partner in impacting the lives of our customers, and employees. We’ve joined OptumHealth, part of the UnitedHealth Group family of companies, and our mission is to help the health system work better for everyone. We’re located on the banks of the beautiful Mississippi River in La Crosse, Wis., with a satellite office in Chicago and remote employees throughout the United States. We’re supported by a national network of more than 25,000 medical and dental providers. Simply put, together we work toward a healthier tomorrow for everyone. Our team members are selected for their dedication and mission-driven focus. For you, that means one incredible team and a singular opportunity to do your life’s best work.(sm)
© 2018 OptumCare. All Rights Reserved.
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.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment