Healthcare Operations Director

3 days ago


Ontario CA, United States UnitedHealth Group Full time
Healthcare Operations Director Job Summary

Job 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 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.

Requirements:

  • 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.

About Us: UnitedHealth Group is a leading health and well-being company, and this role is an exciting opportunity to join our team and make a meaningful impact in the healthcare industry.


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