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La Crosse, Wisconsin
United States
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LHI - Director of Provider Management - La Crosse, WI

At Optum, the mission is clear:  Help people live heathier lives and help make the health system work better for everyone   LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans. By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system.   LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on-location services, patient-specific in-clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.   There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.(sm) The LHI Director of Provider Management will direct a team in managing network development, provider relations, physician contracting, and network provider operations, including credentialing.Provides strategic and day-to-day operational management to include fostering a continuous improvement environment that supports both LHI’s internal and external customers, while providing strategies to meet market growth and medical cost targets. Accountable for effective relations between PNM and LHI’s network of providers and practitioners. Oversight of budgetary control within PNM. Develop strong business relationships within LHI to enhance service delivery for all contracts. Mentor leadership staff with a focus on professional development. Provides strategic planning, evaluation and execution of company and department initiatives.Primary Responsibilities: Lead a team of department managers in developing and executing strategic departmental initiatives Achieve company targets through detailed planning and aggressive contracting for primary care, specialty, and ancillary providers, as well as risk contract management Lead strategic and operational planning for provider network and facilitate the execution of the plan Review department metrics for provider and practitioner performance Oversee both internal and external Key Performance Indicators (KPIs) Responsible for internal Service Level Agreements (SLAs) to ensure compliance and quality service delivery Provide direction and guidance for hiring, training development and performance expectations Review documented processes and procedures to ensure compliance and provide recommendations for improvement as necessary Foster collaboration with program managers in support of contractual obligations and requirements Provide oversight to projects or process improvement initiatives Perform data analysis and develops specific actions to manage medical cost trends Manages Provider Network integrity and compliance Lead employee engagement and manager effectiveness efforts and ensure leadership team is focused on employee development Travel 15%  Required Qualifications: Bachelor’s degree in Business Administration, Healthcare Administration, Finance or Economics or equivalent combination of education, experience and/or applicable military experience 10 or more years of experience in the healthcare sector 5 or more years of experience in provider network contracting and network development 6 or more years of experience in a leadership role Intermediate proficiency with MS OfficePreferred Qualifications: Knowledge and understanding of military protocol   Soft Skills: Demonstrated experience developing provider networks from inception through long-term retention Demonstrated ability to build and maintain long-term relationships within healthcare organizations Ability to work in a fast-paced environment, flexible and adaptable to changing requirements Strong analytical and problem solving skills Ability to influence and negotiate through the use of verbal, written and interpersonal means with a diverse group of people/disciplines at all levels of an organization Excellent motivational techniques   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)   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.            Job Keywords: LHI, Director, Provider Management, La Crosse, WI, Wisconsin

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