Physician Business Manager

WellMed, part of the Optum family of businesses, is seeking a Physician Business Manager to join our team in Austin, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in. You’ll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you’ll discover the impact you want and the resources, backing and opportunities that you’d expect from a Fortune 6 leader.  

Primary Responsibilities:

• Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
• Expertise in physician/facility/ancillary contract reimbursement methodologies
• Lead cross functional teams and drive the team to successfully complete the objectives 
• Engage with local provider organizations to support, augment and accelerate efforts to improve operational coordination of patient care
• Research and proactively seek to fill in knowledge gaps in key functional areas
• Provide/ensure training to applicable audiences, as needed 
• Ensure project documentation is accurate and all projects are completed on time and within scope
• Analyze project outcomes and make appropriate recommendations to improve outcomes/processes moving forward 
• Collect/synthesize best practices from across a network of provider organizations 
• Meet and / or exceed client service level provider relations expectations 
• Manage provider relationships that require frequent contact; includes large, regional and complex clients
• Create and present PowerPoint provider education decks 
• Document activities and report on progress, utilizing tools and job aids as requested by manager, on a consistent, timely and accurate basis 
• Plan, conduct, and / or participate in special projects as directed by management or when supporting individual performance goals

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors’ offices. At WellMed our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we’re making health care work better for everyone.

In this role, you’ll be part of a performance driven, fast paced organization that is serving multiple markets. You’ll have frequent interactions with senior management and physicians as you communicate about ways to evolve ongoing processes and programs. 

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:

• 4+ years of health care / managed care experience
• 2+ years in healthcare provider relations, provider network management, medical office administration, revenue cycle management, or Medicare Advantage sales
• Proficiency with MS Word, Excel, PowerPoint
• Proficiency in claims processing and issue resolution
• Demonstrable High Level Communication skills
• Ability to travel locally within the Austin market about 50%

Preferred Qualification:

• Experience with Medicare regulations

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.