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

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.

The Physician Business Manager is responsible for developing, maintaining and servicing a high quality, marketable and satisfied provider network within an assigned geographic area.  Key responsibilities include recruitment and contracting, education and servicing of assigned providers.  The Physician Business Manager helps assigned Providers operate successfully within our healthcare delivery model by providing strategic planning and tools to meet goals.  This position is expected to build and sustain strong working relationships with cross functional departments, vendors, local sales, and assigned Providers. The Physician Business Manager is accountable for overall performance and profitability for their assigned groups as well as ownership and oversight to provide redirection as appropriate.

Primary Responsibilities:

Educate Providers to ensure they have the tools they need to meet Quality, Risk adjustment, growth (as appropriate) and Total Medical Cost goals per business development plans Ensures Providers have in depth understanding of WellMed Model of Care to include, but not limited to, contractual obligations, program incentives and patient care best practices Conduct detailed analysis of various reports by tracking and trending data to develop a strategic plan to ensure performance goals are achieved Ensures the overall strategic plan incorporates interventions with internal departments or subject matter experts, external vendors, and others as needed Participates in creation and execution of a local network development plan to assure network adequacy as needed Works at the direction of their assigned leader to recruit/contract providers ensuring network adequacy Conducts new provider orientations and ongoing education to providers and their staffs on healthcare delivery products, health plan partnerships, processes and compensation arrangements Maintains open communication with providers to include solutions for resolution and closure on health plan issues related to credentialing, claims, eligibility, disease management, utilization management, quality and risk adjustment programs Conducts provider meetings to share and discuss economic data, troubleshoots for issue resolution, and implements an escalation process for discrepancies Collaborates with provider groups to develop, execute and monitor performance and patient outcomes improvement plans Collaborates with Medical Director to monitor utilization trends and profit pools and share results with assigned PCPs Handles or ensures appropriate scheduling, agenda, materials, location, meals and minutes of provider meetings as needed Collaborates with contracting team to ensure provider data is correct and Provider directories include any needed updates. Completes Practitioner Data Forms and Provider Change Forms as needed Represent WellMed/UHG by holding company sponsored Provider events (Summits, Learning Sessions) Provides information and participate in management meetings as requested Regularly meets with cross functional team to create, revise and adjust strategy for assigned Provider Groups to meet overall performance goals Provider support to maintain and develop ongoing value related to the WellMed Value Proposition Introduce and advocate company resources to facilitate practice optimization Identifies at risk situations and develops a plan for escalation and corrective action Performs all other related duties as assigned

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.

 

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.
 

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:

3+ years of provider relations or managed care experience Exceptional interpersonal skills with ability to interface effectively both internally and externally with a wide range of people including physicians, office staff, hospital executives and other health plan staff Excellent analytical and problem solving skills with effective follow through Solid verbal and written communication skills Solid knowledge of local provider community

Preferred Qualifications:

Professional provider relations experience involving physicians and administrative staff Provider recruitment and contracting experience Significant understanding of medical care financing and delivery systems, provider contracting, reimbursement arrangements and network management Presentation skills to small and large groups

 

The salary range for this role is $71,600 to $140,600 annually based on full-time employment. 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.

 

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.