Talent.com
Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic
Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold ClinicUnitedHealth Group • Pearland, TX, US
Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic

Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic

UnitedHealth Group • Pearland, TX, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Senior Provider Relations Liaison

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

The Senior Provider Relations Liaison is responsible for establishing and maintaining solid positive business relationships with current and potential Kelsey-Seybold and KelseyCare Advantage affiliate and employed providers to ensure stable and geographically disperse networks for the Kelsey-Seybold commercial and Medicare Advantage health plans and KS Plan Administrators' health plan products.

Primary Responsibilities :

  • Provide educational instruction and support to physicians and their staff
  • Be the main point of contact for the respective providers and will routinely visit physician's offices for issues concerning the achievement of quality outcomes, provider satisfaction, medical cost targets, network growth and / or efficiency targets
  • Responsibility for education of the physicians and office staff on health plan products and benefits, policy and procedure for multiple managed care plans, assistance with claims payments and other duties as assigned
  • Travel requirements - local and extensive

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 :

  • 5+ years of professional level experience in clinic or healthcare operations
  • CPT and ICD-10 coding and prior experience with reimbursement methodologies
  • Proven knowledge of claims processing, clinic operations, managed care plan benefits and utilization management policies and procedures
  • Network development and / or provider relations experience
  • Microsoft Word and Excel experience
  • Proven analytical and problem-solving skills; ability to communicate effectively in writing and verbally
  • Proven public speaking and presentation skills
  • Valid Texas Driver's License and ability to travel
  • Own or lease a working vehicle and be able to travel daily within the Greater Houston area
  • Preferred Qualifications :

  • 5+ years of experience in applicable healthcare administrative operations
  • 3+ years of experience in Medicare / Commercial products
  • Ability to interpret provider contracts and regulatory contracts
  • Experience with the development of provider relations and / or clinical networks
  • Ability to work in a fast-paced environment; demonstrated ability to perform multiple concurrent tasks with minimal supervision and meet deadlines
  • Proficiency with Excel and / or PowerPoint
  • Excellent communication and relationship development skills with multiple different types of stakeholders. Outcomes driven
  • Capable of managing a variety of complex issues while driving momentum of key projects
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    serp_jobs.job_alerts.create_a_job

    Provider Liaison • Pearland, TX, US

    Job_description.internal_linking.related_jobs
    Travel Physical Therapist (PT) - $2,074 per week in Marlin, TX

    Travel Physical Therapist (PT) - $2,074 per week in Marlin, TX

    AlliedTravelNetwork • Houston, Texas, US
    serp_jobs.job_card.full_time
    AlliedTravelNetwork is working with Triage Staffing LLC to find a qualified Physical Therapist (PT) in Marlin, Texas, 76661!. Travel Rehab : Physical Therapy Marlin.Shift Details : 8H Days (8 : 00 AM-...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Physical Therapist (PT) - $2,074 per week in Marlin, TX

    Travel Physical Therapist (PT) - $2,074 per week in Marlin, TX

    Triage Staffing LLC • Houston, Texas, US
    serp_jobs.job_card.full_time
    Travel Rehab : Physical Therapy Marlin.Shift Details : 8H Days (8 : 00 AM-4 : 00 PM).Length : 26 WEEKS 26 weeks.Apply for specific facility details.serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Field Reimbursement Specialist

    Field Reimbursement Specialist

    Syneos Health / inVentiv Health Commercial LLC • Houston, TX, United States
    serp_jobs.job_card.full_time
    The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Vice President of Care Navigation

    Vice President of Care Navigation

    Confidential • Houston, TX, US
    serp_jobs.job_card.full_time
    Vice President of Care Navigation.Innovative healthcare technology (HealthTech) company.The Company is in search of a Vice President of Care Navigation to lead the implementation of new partner int...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Physical Therapist (PT) - $2,074 per week in Marlin, TX

    Travel Physical Therapist (PT) - $2,074 per week in Marlin, TX

    AlliedTravelCareers • Houston, Texas, US
    serp_jobs.job_card.full_time
    AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Physical Therapist (PT) in Marlin, Texas, 76661!. Travel Rehab : Physical Therapy Marlin.Shift Details : 8H Days (8 : 00 AM-...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Regional Account Manager (Biosimilars) - South Central Region

    Regional Account Manager (Biosimilars) - South Central Region

    Fresenius Kabi USA, LLC • Houston, TX, United States
    serp_jobs.job_card.full_time
    The Regional Account Manager (Biopharma) is accountable for implementing commercial strategies through the promotion of the biosimilar portfolio. Primary focus is to grow sales by developing a solid...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Field Reimbursement Manager

    Field Reimbursement Manager

    Syneos Health / inVentiv Health Commercial LLC • Houston, TX, United States
    serp_jobs.job_card.full_time
    The Field Reimbursement Manager (FRM) provides best-in-class support to minimize reimbursement and process approval barriers resulting in a better overall patient journey and access to needed thera...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director, Clinical Operations

    Director, Clinical Operations

    Confidential • Houston, TX, US
    serp_jobs.job_card.full_time
    The Director, Clinical Operations will be responsible for overseeing operational planning activities, collaborating with cross functional teams, and managing and resolve study conduct issues.Medica...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Director of Nursing

    Director of Nursing

    Zollege • Houston, TX, US
    serp_jobs.job_card.full_time
    Be a foundational leader : you'll shape and launch the first accredited LVN / LPN program at Zollege, making a real impact in nursing education and workforce readiness. At Zollege, we believe higher ed...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Director, Clinical Operations

    Senior Director, Clinical Operations

    Confidential • Houston, TX, US
    serp_jobs.job_card.full_time
    Senior Director, Clinical Operations.Pioneering biotechnology (BioTech) company developing innovative treatments.The Company is in search of a Senior Director for Clinical Operations to provide bot...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Licensed Therapist (LCSW, LPC, LMFT)

    Licensed Therapist (LCSW, LPC, LMFT)

    Hightop Health • Houston, TX, US
    serp_jobs.job_card.full_time +1
    Roots Behavioral Health (A Hightop Health Clinic) is seeking a dedicated and compassionate Licensed Therapist, who is passionate about delivering high quality care, to join our integrative and coll...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Manager - Provider Relations

    Manager - Provider Relations

    Astrana Health, Inc. • Houston, Texas, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    We are currently seeking a highly motivated Provider Relations Manager in the Houston area who will be responsible for field and office activities in providing education and supporting the IPA’s pr...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days
    Senior Vice President, Go-To-Market

    Senior Vice President, Go-To-Market

    Confidential • Houston, TX, US
    serp_jobs.job_card.full_time
    Senior Vice President, Go-To-Market.Top provider of healthcare analytics programs to lessen medical mis-diagnoses.The Company is in search of a strategic and execution-focused leader to spearhead i...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Provider Relations Specialist

    Provider Relations Specialist

    Med Supply US • Houston, Texas, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Med Supply US is a leading provider of durable medical equipment, specializing in Continuous Glucose Monitors (CGMs) and catheters. We are dedicated to improving the quality of life for patients wit...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    RRT Lead

    RRT Lead

    HCA Houston Healthcare Medical Center • Houston, TX, United States
    serp_jobs.job_card.full_time +1
    Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) RRT Lead ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Vice President of Clinical Services

    Vice President of Clinical Services

    Confidential • Houston, TX, US
    serp_jobs.job_card.full_time
    Vice President of Clinical Services.Leading provider of innovative self-insured healthcare plans for SMBs.The Company is seeking a VP of Clinical Services to provide dynamic leadership and oversigh...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Vice President & General Manager, Pharma Services

    Vice President & General Manager, Pharma Services

    Confidential • Houston, TX, US
    serp_jobs.job_card.full_time
    Vice President & General Manager, Pharma Services.Well-known provider of clinical laboratory services.Consulting & Professional Services. The Company is seeking a Vice President & Genera...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Provider Liaison

    Provider Liaison

    Allara Health • Houston, TX, United States
    serp_jobs.job_card.full_time
    Trusted by over 40,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, an...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted