Provider Engagement Consultants (PEC) will develop meaningful relationships with key healthcare providers (providers), identify market strategies to support products and drive membership growth and retention for the health plan products they support. They provide concierge services; develop strategies and tactical plans to support consumer satisfaction, support new product and program launches and combat competitive pressures. With their marketing acumen and public relations experience PECs have the opportunity to be the face of the company and to share the mission of our company – To help people live healthier lives and help make the health system work better for everyone. If you are located in the state of Texas, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Identify and work with providers with focus on growth and retention of UnitedHealthcare Community Plan members Help identify and pursue potential providers who could become an asset to promote the health plan's overall health care initiatives and quality of service Execute plan marketing strategies to increase market share in DSNP TX Markets Demonstrate understanding of all Texas Medicaid & Medicare lines of business as they apply to managed care and the needs of the members enrolled in them in order to facilitate their care and resolution of their issues Develop strong relationships with providers and their office management teams Maintain strong business relationships to ensure retention of existing contracted providers therefore decreasing loss in membership due to provider terminations Educate providers on general policies and procedures applicable to delivery of care (e.g., regulatory; benefit; quality of care) Introduce and educate providers on health lifestyle initiatives offered by the health plan for their patients Conduct regular visits to providers to introduce new initiatives and monitor success of those in place Conduct regular visits to providers to identify issues and ensure effective problem resolution to maintain strong relationships Demonstrate understanding of providers' business goals and strategies in order to align them with those of the health plan. Coordinate activities/events with providers to promote the health plan and educate members on value added services offered by the health plan Advocate the use of Provider Tools, online technology and health plan resources, (e.g. LINK, , Provider Manuals) Communicate members' and providers' needs to internal stakeholders in order to drive creation of solutions that meet our mutual business goals Work with internal business partners to identify, understand, and/or improve tools, resources, systems, and capabilities that can maximize provider/member experience, or health plan performance Collaborate and/or participate in discussions with colleagues and business partners to identify potential root cause of issues Analyze data to determine root cause of issue (e.g., identify trends and patterns; identify outliers and anomalies) and/or escalate problem to appropriate business partner for further analysis, as necessary Involve leadership and/or escalate issues as necessary to implement provider / member solutions Respond to providers' requests by directing them to appropriate internal or external resources Solicit provider informal and formal feedback via surveys, complaints and conversations in order to develop action plans (e.g., corrective actions; suggestions to leadership; complaint resolution processes, etc.) Support member retention events/activities and health plan communal initiatives (e.g. Member advisory council meetings, Alzheimer's Walks, Special Olympics, Ride 2 Recovery, etc.)
Required Qualifications:High School Degree 5+ years of Healthcare, Managed Care and Marketing experience Experience in Provider Relations and Network communications and interactions Intermediate level of proficiency with SharePoint, Windows PC applications and Microsoft Office (Word, Excel, Outlook, and PowerPoint) Bi-Lingual Spanish 70% travel within assigned territory (Service Delivery Area) and to other markets as neededCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter PolicyDiversity 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.
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.