IPA Operations Manager

2 months ago

Ontario, United States UnitedHealth Group Full time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.The IPA Operations Manager will serve as the primary point of contact and central resource for the IPA provider network.As an IPA Operations Manager, you will be responsible for providing exceptional service to our network of healthcare providers.You will work closely with providers to educate them on IPA policies, manage key performance initiatives, coordinate operational processes, and address any issues or concerns.In addition, this position will fulfill all administrative duties and independently drive marketing and business development efforts to strengthen our network in serving the growing healthcare needs of the market.Primary Responsibilities: Develop and maintain strong relationships with network providers to ensure high-quality service delivery and promote IPA growth Network expansion focusing on new PCP/SPC recruitment for identified geographic areas Collaborate with providers to ensure understanding of IPA policies, procedures, and guidelines Assist providers with claim submission and payment processes, including understanding coding and billing guidelines Respond promptly to provider inquiries and concerns, escalating issues to appropriate parties as needed Ensure all provider-related data is accurate and up to date in IPA databases and systems Collaborate with internal teams to facilitate timely and effective resolution of provider issues Participate in training and education sessions to develop and maintain a deep understanding of healthcare industry trends, regulations, and compliance requirements Identify opportunities to improve IPA processes and procedures to better support our network of providers Submit / process Contract Request for PCP & Specialists including but not limited to amendment/transmittal Serves as liaison with Health plans related to member eligibility, member issues, and provider related inquiries Assist IPA with Specialty contracts discussions, negotiations and on boarding of new Specialty groups Coordinates, track and supports deployment of new PCP onboarding (systems, access, office readiness) Collaborate on updates, tracking and deployment of PCP variable comp dashboards, and Annual notices, renewals/Smart sheets updates, and follow up Monthly Specialties Cap Split report calculations Assist with annual tabulations of PCP and Specialty incentive programs results Distribution of PCP & Specialty CAP Report/Pre-Cap Summaries to providers Participate in IPA FISH/UM review and communicate updates accordingly Assist with coordination and tracking of IPA monthly network Cap leakage Serve as the primary point of contact and central resource for any Quality, Risk adjustment and growth-related initiatives, questions, or inquiries Adhoc duties related to provider and patient care 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: 2+ years of experience in a network management-related role, such as contracting or provider services 2+ years of provider relations or managed care experience 2+ years of sales or marketing experience within a matrix organization or experience in a metric/goal driven environment Provider recruitment and contracting experience Experience working with diverse patient populations Experience outreaching to prospective patients and providers Experience presenting materials to clients internal or external Experience working with a wide range of people including physicians, patients, office staff, hospital executives, and other health plan staff Willingness to travel regularly (locally within the Inland Empire) up to 75% of the time California Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.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.

  • IPA Operations Manager

    2 months ago

    Ontario, United States UnitedHealth Group Full time

    For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The IPA Operations Manager will serve as the primary point of contact and central resource for the IPA provider network.As an...

  • Healthcare Operations Manager

    3 weeks ago

    Ontario, CA, United States UnitedHealth Group Full time

    Job SummaryThe IPA Operations Manager plays a vital role in supporting the growth and development of our network of healthcare providers. As a key member of our team, you will be responsible for managing key performance initiatives, coordinating operational processes, and addressing any issues or concerns that arise. Your exceptional service and dedication...

  • Healthcare Operations Director

    3 weeks ago

    Ontario, CA, United States UnitedHealth Group Full time

    Healthcare Operations Director Job SummaryJob Summary: We are seeking a highly skilled Healthcare Operations Director to join our team at UnitedHealth Group. The successful candidate will be responsible for leading the development and implementation of healthcare operations strategies, ensuring high-quality service delivery and promoting IPA growth.Key...

  • Healthcare Operations Specialist

    2 weeks ago

    Ontario, California, United States Kinetic Personnel Group, Inc Full time

    About UsKinetic Personnel Group, Inc is a public health agency in the Ontario area renowned for its work in the community and being a great place to work. As a leading provider of healthcare services, we are currently recruiting for multiple positions in our Healthcare Call Center.Job OverviewWe offer a dynamic and fast-paced environment where you will be...

  • Operations Manager

    1 week ago

    Ontario, United States AppleOne Employment Services Full time

    We are thrilled to partner with our client, a global leader in networking devices, to find their next Operations Manager. If you're from the consumer electronics industry and have a passion for leading dynamic teams, streamlining operations, and driving excellence, this role is for you!Position Summary: The Warehouse Manager will oversee all aspects of...

  • Operations Manager

    7 days ago

    Ontario, United States Ashtel Studios, Inc. Full time

    About the JobWe are looking for an Operations Manager to oversee the day-to-day activities of our organization. This is a key role that requires strong leadership and organizational skills, as well as the ability to motivate and direct a team of staff.The successful candidate will have a proven track record of managing complex operations, prioritizing tasks,...

  • Operations Manager

    3 days ago

    Ontario, California, United States inQbrands, Inc. Full time

    Job Overview:We are seeking an experienced Operations Manager to join our team at InQbrands, Inc. As a key member of our operations department, you will be responsible for overseeing the efficient processing of sales orders, coordinating shipments, and ensuring timely delivery to retailers, distributors, and wholesalers.Key Responsibilities:Order Processing:...

  • Financial Operations Manager

    4 days ago

    Ontario, United States Kingston Brass Full time

    Job OverviewWe are seeking an experienced Financial Operations Manager to lead our accounting department. This role is responsible for the effective management and profitable operation of our assigned branch office.

  • Restaurant Operations Manager

    5 days ago

    Ontario, California, United States Farmer Boys Full time

    Job Title: Restaurant Operations ManagerWe are seeking an experienced Restaurant Operations Manager to lead our team at Farmer Boys. As a key member of our management team, you will be responsible for overseeing the day-to-day operations of our restaurants, ensuring that our high standards of quality and customer service are consistently met.About the...

  • Warehouse Operations Manager

    4 days ago

    Ontario, United States Garage Door Manufacturing Company Full time

    About the JobThe Warehouse Operations Manager is a critical role at Garage Door Manufacturing Company, responsible for ensuring the smooth operation of our distribution center. The ideal candidate will have experience in managing warehouse teams and possess excellent leadership and problem-solving skills.

  • Logistics Operations Manager

    4 weeks ago

    Ontario, California, United States K Trans Worldwide Logistics LLC Full time

    Job OverviewK Trans Worldwide Logistics LLC is seeking an experienced Logistics Operations Manager to oversee all warehouse operations and ensure smooth receiving, distribution, and storage processes.CompensationThe estimated salary for this position is $45,000 - $65,000 per year, depending on experience.ResponsibilitiesLoading and unloading containers...

  • Distribution Operations Manager

    4 days ago

    Ontario, United States Garage Door Manufacturing Company Full time

    Job DescriptionThe Garage Door Manufacturing Company is looking for a seasoned professional to serve as our Distribution Center Manager. This critical role involves overseeing the day-to-day operations of our distribution center, ensuring that all aspects of logistics, inventory management, and staff supervision are executed efficiently and effectively.The...

  • Warehouse Operations Manager

    4 weeks ago

    Ontario, California, United States Coastal Pacific Food Distributors Full time

    At Coastal Pacific Food Distributors, we're committed to delivering exceptional service to our customers while upholding the highest standards of safety and quality.Salary: $72,500 - $77,000 per yearJob Description:We're seeking a highly skilled Warehouse Operations Manager to join our team in Ontario, CA. As a key member of our logistics team, you'll be...

  • Warehouse Operations Manager

    4 weeks ago

    Ontario, California, United States K Trans Worldwide Logistics LLC Full time

    **About K Trans Worldwide Logistics LLC**We are a reputable logistics company seeking an experienced Warehouse Operations Manager to oversee our warehouse operations.The ideal candidate will have a strong background in warehouse management, leadership skills, and the ability to ensure efficient receiving, distribution, and storage of goods.About the...

  • Warehouse Operations Manager

    4 weeks ago

    ontario, United States American Tire Distributors Full time

    Job SummaryWe are seeking a highly motivated and experienced Warehouse Operations Manager to oversee the day-to-day activities of our distribution center.Key ResponsibilitiesAssist with evaluating the performance of team members and provide training as needed, giving feedback to management.Reinforce SEAL and Standard Work practices and assist with...

  • Facility Operations Manager

    4 weeks ago

    Ontario, California, United States Pentel Full time

    Job Summary:Pentel seeks an experienced Facility Operations Manager to oversee daily and long-term maintenance and repairs in a Distribution Center/Office environment. The ideal candidate will supervise facilities maintenance staff and manage outside contractors to ensure compliance with regulations and company requirements.

  • Associate Medical Director

    3 weeks ago

    Ontario, CA, United States UnitedHealth Group Full time

    Optum CA is seeking a Associate Medical Director to join our team in Inland Empire Region, CA. 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...

  • Financial Operations Manager

    7 days ago

    Ontario, United States CTK USA, Inc. Full time

    At CTK USA, Inc., we consider ourselves a business where you can learn and grow, get the job done, and be proud of what you do. We value our employees' hard work and recognize their contributions through employee recognition days every month.Job DescriptionThe Financial Operations Manager will be responsible for managing the financial operations of the...

  • Warehouse Operations Manager

    1 week ago

    Ontario, United States Clutter Full time

    We are seeking a highly skilled and motivated Warehouse Lead to oversee the daily operations of our Inland Empire warehouse. As a key member of our team, you will be responsible for ensuring that all tasks are completed efficiently and effectively.Responsibilities:Coordinate with teams of 2-3 associates to ensure seamless fulfillment of inbound, outbound,...

  • Retail Operations Manager

    7 days ago

    Ontario, California, United States Abercrombie & Fitch Co. Full time

    Job OverviewAbercrombie & Fitch Co. is seeking a highly skilled Retail Operations Manager to lead our store team in Bridgewater Commons. As an Assistant Manager, you will be responsible for driving sales results, providing best-in-class customer service, and overseeing daily store operations.About the RoleCustomer Experience: Deliver exceptional customer...