United Health Group Work Values

Daily Duties at United Health Group:

•Identify Retail chains in need of credentialing contracts, performance monitoring and reporting systems to ensure that plan management, staff and external personnel receive information required to meet their objectives. Work with Regulatory Affairs to perform audit of in house documentation. Identify chains that are labeled as Retail so that documentation is clear and concise as to volume of provider services and agreements. Once a definition is put in place, ensure proper contractual documentation to monitor and handle oversight is administered accordingly. Create reports used to illustrate utilization from both providers and members Document analysis and produce processes and procedures to improve the provider experience Analyze data to determine rate increases and or decreases based on client region need Initiate retail chains to begin claims processing via EDI and coordinate timely receipt of transaction for Provider reimbursements. Assure that project is in keeping with demands of stakeholders and project deliverables within in triple constraint confines and scope expectancies use WBS (work breakdown structure) and work packages to rework activity sequencing within the critical path. Use Qualitative and Quantitative Risk Analysis to support suggestions as provided to upper management and the CCB (Change Control Board). •Develop and implement programs for managing service and quality by continually evaluating service standards and identifying opportunities for improving, prospecting, recruiting, and credentialing ongoing education/ training and contract performance •Evaluate programs and tools available to staff and carry out department objectives Make adjustments in developing new approaches when needed to positively impact productivity Manage cross-functional task forces to identify and document functional Requirements and work flow specifications. Verify the Charter and Scope of the Project. •Develop and coach Provider Relations Staff •Implement programs to influence and change behavior of physicians and providers in accordance with health plan goals and objectives in conjunction with the Medical Expense Team Utilize work functions which incorporate all nine Project Management Knowledge areas including integration, scope, time, cost, quality, human resources, communications, risk, and procurement. •Supervise the implementation of the plan’s physician reimbursement and recruitment strategies in conjunction with the Medical Expense Team. •Ensure that the delivery system is cost effective, marketable, stable, and offers broad access to members. Illustrate activity sequencing using tools and technique diagrams to adjust resources needed at various stages of the project. Apply determined lead and lag intervals to adjust resources as needed

What they like about United Health Group:

Working in an organization that is technologically advanced, creative, and innovative is critical in your assessment of hiring companies. Less important to you are stability of the organization, the length of time an organization has been in business, and the business' plans for the future. You prefer a fast-moving company that will take risks to achieve its goals and objectives. The length of time the company has been in business is irrelevant. Maintaining status quo is unnecessary. You thrive on change, uncertainty and the upside of potential business risks, especially those associated with innovation. Stability for the long haul is not nearly as important as is working in an atmosphere that is charged with a sense of urgency and constant change.

Tags

Liaison, Specialist, Implementation, Management, Plan, Coordinator

Skills

These are some of the questions we asked our climbers about their experiences with United Health Group: