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 ClinicKelsey-Seybold • Pearland
serp_jobs.error_messages.no_longer_accepting
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

Kelsey-Seybold • Pearland
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

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 :

  • Responsibilities include providing 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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. 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.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

    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.

    serp_jobs.job_alerts.create_a_job

    Provider Liaison • Pearland

    Job_description.internal_linking.related_jobs
    Manager Nurse Cancer Services - Kelsey Seybold Clinic - Main Campus

    Manager Nurse Cancer Services - Kelsey Seybold Clinic - Main Campus

    Optum • HOUSTON, Texas, United States
    serp_jobs.job_card.full_time
    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+ loca...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Care System Liaison- South Central (Remote)

    Care System Liaison- South Central (Remote)

    Jazz Pharmaceuticals • Houston, TX, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    If you are a current Jazz employee please apply via the Internal Career site.Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to transform the lives of patients and ...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
    Sr Director Rebate Invoice and Audit - Synergie Medication Collective

    Sr Director Rebate Invoice and Audit - Synergie Medication Collective

    Blue Cross Blue Shield Association • Houston, TX, United States
    serp_jobs.job_card.full_time
    The hiring range for this role is : .This is the lowest to highest salary we.A candidate's position within the.Note : No amount of pay is considered to be wages or compensation until such amount is ea...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Medical Director- Physician Reviewer

    Medical Director- Physician Reviewer

    Mindlance • Houston, TX, US
    serp_jobs.job_card.full_time
    Job Title : Physician Reviewer.Duration : 9-10 Months Assignment (Temp to hire).Locations : Fully Remote- (WFH).Schedule : Monday to Friday – First Shift. Must have Texas Medical Licensure.Evaluates...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    CMA, LVN or RN - Memorial City

    CMA, LVN or RN - Memorial City

    Prelude Fertility • Houston, TX, United States
    serp_jobs.job_card.full_time
    Aspire HFI is a high-volume infertility practice that seeks a caring, compassionate.Monday - Friday, no weekends and only work 1 holiday per year. Coordinate all infertility diagnostic tests and tre...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • 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
    Pharmacy Manager

    Pharmacy Manager

    Pyramids Pharmacy • Pearland, TX, US
    serp_jobs.job_card.full_time
    Location : Pearland, TX On-Site.Position Summary : The Pharmacist is responsible for the supervision, and coordination of all activities in the Pharmacy Fulfillment area and the education of patients...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Vice President of Reimbursement - Long Term Care - RN

    Vice President of Reimbursement - Long Term Care - RN

    Elios Talent • Houston, TX, US
    serp_jobs.job_card.full_time
    Vice President of Reimbursement.This is a senior leadership position in long-term care leading the strategy to maximize Medicare reimbursement through accurate clinical documentation and coding com...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    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
    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
    Sr Manager - Clinical Education Programs - ASC Main Campus - Kelsey Seybold Clinics

    Sr Manager - Clinical Education Programs - ASC Main Campus - Kelsey Seybold Clinics

    Optum • HOUSTON, Texas, United States
    serp_jobs.job_card.full_time
    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+ loca...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    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
    Advanced Practice Provider - Lymphoma / Myeloma (Inpatient)

    Advanced Practice Provider - Lymphoma / Myeloma (Inpatient)

    MD Anderson Center • Houston, TX, United States
    serp_jobs.job_card.full_time
    The Lymphoma and Myeloma department is renowned internationally for the diagnosis, treatment and research of diseases focused on lymphoma, myeloma and blood disorders that affect the body's blood a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    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
    Client Relations Advisor I

    Client Relations Advisor I

    Hinderliter de Llamas & Associates • Houston, TX, US
    serp_jobs.job_card.full_time
    The HdL Companies help cities, counties and special districts maximize revenues through research and discovery efforts, financial and economic analysis, and provision of software that supports loca...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Thought Leader Liaison Southeast Region (Remote)

    Thought Leader Liaison Southeast Region (Remote)

    Jazz Pharmaceuticals • Houston, TX, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    If you are a current Jazz employee please apply via the Internal Career site.Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate to transform the lives of patients and ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted