Sr. Physician Business Manager - Fort Myers, FL - Full-time / Part-time

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

This position functions as a subject matter expert in network operations. This position strives to bring consistency and experience to existing Physician Business Managers in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will sand organize and assist the local Physician Business Managers in achieving short and long term operational/strategic business goals/ by developing, enhancing and maintaining operational information and models. They also develop, in conjunction with the local Director/Manager, and implement effective/strategic business solutions through research and analysis of data and business processes.    

   

Primary Responsibilities:

   

General Profile:  

• Analyzes risk pool and provider group performance to determine areas of focus or improvement opportunities


• Develops strategies to align contracted provider groups with company initiatives, goals (revenue and expense) and quality outcomes


• Create and develop action plans to achieve metrics in quality, coding and financial performance


• Provides explanations and interpretations within area of expertise


• Provides daily direction and guidance to existing local Physician Business Managers and acts as the subject matter expert for their assign area

Job Scope:  

• Uses pertinent data and facts to identify and solve a range of problems through experience, research and collaboration


• Assists local Physician Business Managers with investigating non-standard requests and problems


• Prioritizes and organizes assigned workload of local Physician Business Managers is able to meet deadlines while delivering the best outcomes possible


• Provides explanations, direction and information to others on topics within area of expertise

Responsibilities:  

• Strong analytical skills required to support, compile and report key information


• Drive processes and technology improvement initiatives that directly impact Revenue, HEDIS/STAR measures and Quality Metrics, using standard project methodology (requirements, design, test, etc.)


• Use data to identify trends, patterns and opportunities for the business and clients.  Develop business strategies in line with company strategic initiatives


• Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities


• Evaluate and drive processes, provider relationships and implementation plans


• Produce, publish and distribute scheduled and ad-hoc client and operational reports relating to the development and performance of products


• Collaborate with other Physician Business Manager- Area Leads to foster teamwork and build consistency throughout the market


• Serves as a liaison to the health plan and all customers

Additional Job Information:  

Requires strong presentation skills, problem solving and ability to manage conflict and identify resolutions quickly 

Have the ability to communicate well with physicians, staff and internal departments

Required Qualifications:  

• HS Diploma or GED


• 5+ years' experience in the medical field or health plan setting


• Knowledge of Managed Care and Medicare programs 


• Ability to Develop Long Term Relationships 


• Strong Work Ethic & Desire to Succeed 


• Ability to sit down with medical groups of all sizes and develop joint action/work plans  


• Excellent Oral & Written Communication Skills  


• Experience presenting group presentations and training  


• Strong business acumen, analytical, critical thinking, and persuasion skills 


• Proficiency in Microsoft Word, Excel and PowerPoint


• Ability to work independently, use good judgment and decision making process 


• Ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals 


• Ability to resolve complete problems and evaluate options to implement solutions


• Travel 75% of the time within 100 mile radius 


• Ability to adopt quickly to change in an ever-changing environment
  

  

Preferred Qualifications:  

• 
  

  Undergraduate degree  



• 
  

  Risk adjustment experience
  

  

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: 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.

Job Keywords:  Senior Physician Business Manager, Fort Meyers, FL, Florida