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Job Opening details:-
Company Name :- Optum
Position Name :-
Company Location :- Golden, CO 80402
Job Category :- Jobs in general
Full Job Description :-
Opportunities with New West Physicians. Bring your passion for health care to New West Physicians in Colorado, a team committed to providing excellent service to every patient… every time. We’re not only one of the largest physician groups in Colorado with 21 offices throughout the Denver Metro area – we’re also part of Optum, a nationwide family of over 53,000 dedicated physicians working together to help people live their healthiest lives. That means we’re backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. New West Physicians has received national awards for providing high quality health care in Colorado. It’s all possible because of our highly qualified, board-certified family practice and internal medicine physicians, hospitalists, cardiologists, gastroenterologists, psychiatrists, endocrinologists, neurologists, physiatrists, physician assistants, nurse practitioners – and more. If this sounds like the place for you, it’s time to take a closer look at New West Physicians and discover a path to your life’s best work.(sm)
Positions in this function are responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women’s Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. May perform network analysis and strategy development and implementation. Obtains data, verifies validity of data, and analyzes data as required. Analyzes network availability and access. May make recommendations regarding use, expansion, selection of networks for various products based on that analysis.
If you are located near Golden, Boulder, Denver, Fort Collins and Colorado Springs, CO, you will have the flexibility to telecommute* as you take on some tough challenges.
*Will travel north and south of Golden, CO to clinic sites 1-3 times a week*
Set team direction, resolve problems and provide guidance to members of own team
Adapt departmental plans and priorities to address business and operational challenges
Direct cross-functional and/or cross-segment teams to develop enterprise-wide Clinically Integrated Networks focused on specific clinical areas/service lines such as oncology or cardiology
Oversee network analysis and strategy development and implementation
Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
Ensure teams are obtaining, validating and analyzing data impacting network availability and access
Provides leadership to and is accountable for the performance of managers and/or senior level professional staff
This is an opportunity that will offer you challenge like no other. We operate a complex, matrixed business that requires you to work through ambiguity even as you build a relationship with some of our most focused and intense business leaders. You’ll need to conceptualize effectively, communicate clearly and earn credibility within a demanding business environment.
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.
Experience with the payor
Experience with working with quality
Experiencing working with providers/physicians/office staff
Understands RAF cycle (payment cycle)
Understands STARS and HEDIS metrics
Understands how a payor makes money
Understand why stars are important to payor
Product knowledge (PPO vs HMO vs Med supplement plans)
Understands a risk relationship and what an RBE is
Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance
Solid relationship building skills and leadership skills
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)
Colorado Residents Only: The salary range for Colorado residents is $97,300 to $176,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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.
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