Physician Business Manager

3 weeks ago


Austin, Texas, United States Optum Full time

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

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
  • Demonstrable High Level Communication skills
  • Proficiency in claims processing and issue resolution
  • Ability to travel locally within the Austin market about 50%h


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