Provider Services and Operations Manager - Hybrid 2-3 days in Washington, DC office

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

We are excited to recruit for a strong operator that is passionate about improving the provider experience to join our team!

The Provider Services & Operations Manager for the District of Columbia Health Plan has accountability for managing and coordinating functions that impact our providers, such as provider communications, mailbox management, project management, issue resolution and reporting & audits.

If you are located in or near the District of Columbia, you will have the flexibility to work remotely*, as well as work in the office (2-3 days a week) as you take on some tough challenges.

Primary Responsibilities

• Provider Services: Providing end-to-end oversight & management of the relationships with our core providers (HCBS, FQHCs, etc.) through regular calls, meetings, town halls and mailboxes to meet their needs, provide education and resolve issues through proactive problem solving
• Provider-related Operations: Project managing and coordinating provider-related operational functions such as provider experience improvement initiatives, encounters issues, site visits, new business initiatives, appeals & grievances, etc. This will require ability to coordinate with different stakeholder groups in the enterprise to drive progress on workstreams and resolve issues
• Provider-related Reporting and Adherence: Developing, monitoring and assessing reporting and other District-required deliverables, as well as identifying and resolving any areas of improvement
  
  

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

• 2 years of experience in provider service or in a customer-facing role
• 2 years of experience with HCBS / LTSS programs
• 2 years of experience with D-SNP, Medicaid and/or Medicare programs
• 1 years of experience in managing projects and/or programs
• 1 years of experience in managing, developing and/or coordinating reports or records
• Intermediate level of proficiency with MS Excel
• Intermediate level of proficiency with MS PowerPoint and Word
• Ability to work hybrid in the Washington, DC office 2-3 days per week
• Resides in the District of Columbia or in commuting distance
• Ability to travel up to 10%
  
  

Preferred Qualifications

• Experience working with District of Columbia agencies and/or government partners
• Demonstrated ability to have attention to detail
• Demonstrated ability to communicate (verbally and written) effectively with different levels of leadership
• Demonstrated ability to proactively problem-solve and navigate in a fast-paced, changing environment
  
  

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.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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.

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