UnitedHealth Group Healthcare Provider Representative - Kentucky Telecommute in Louisville, Kentucky
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 Provider Representative is responsible for the full range of provider relations services within UnitedHealth Group. Primary Responsibilities: Function independently, meeting with physicians to discuss OptumInsight tools and programs focused on improving the quality of care for Medicare Advantage Members Utilize data analysis, identify and target providers who would benefit from our Medicare 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 hospitals, 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: 3 or more years of experience in one of the following areas: provider network management, contracting, sales or consulting experience and/or as a Registered Nurse (RN) Intermediate proficiency within MS Office Suite (Excel (Pivot Tables), Word and PowerPoint) Ability to travel up to 75% as necessary; daily travel within the designated market area and possible monthly travel outside their designated market Based: KY Preferred Qualifications: Experience giving group presentations Expertise in chronic condition areas (i.e.
oncology, diabetes, etc.) Experience in Risk Adjustment & HEDIS / STARS Solid understanding of ICD-10 and CPT coding Experience in developing comprehensive, provider specific plans to improve RAF performance Soft Skills: Ability to work with physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships Excellent written and oral communication skills with internal and external business partners and employees 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 & desire to succeed Strong business acumen and analytical skills Exceptional presentation skills 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 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: Provider representative, provider network management, contracting, sales or consulting, Registered Nurse (RN), Chronic conditions, ICD-10, CPT Coding, Telecommute, Remote, Work from Home, Lexington, Louisville, KY, Kentucky dfac588d-6dcd-40ed-94ad-47d76998e3fa
Healthcare Provider Representative - Kentucky Telecommute Kentucky-Lexington 756411