Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic 2378340 | Pearland, Texas | Kelsey-Seybold Clinic

$60.2k - $107.4k

divvyDOSE

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:

  • 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). The salary for this role will range from $60,200 - $107,400 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.

divvyDOSE
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic 2378340 | Pearland, Texas | Kelsey-Seybold Clinic in Pearland, TX vacancy
  • $91.7k - $163.7k

     ...Explore opportunities with Kelsey-Seybold Clinic, part of the Optum...  ...than 900 medical providers in 65 medical specialties...  ...to set strategy and operational plan for development...  ...commercial network plans as the outcome....  ...delivery of key milestones related to relationship development... 
    Senior
    Network
    Minimum wage
    Full time
    Work experience placement
    Local area

    United Health Group

    Pearland, TX
    5 days ago
  • $20 - $36 per hour

     ...Sr. Account Payable Processor Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one...  ...from more than 900 medical providers in 65 medical specialties. Take...  ...working knowledge of modern office practices and procedures ~... 
    Work at office
    Senior
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    divvyDOSE

    Pearland, TX
    3 days ago
  • $20 - $36 per hour

     ...Grievances Coordinator - Kelsey Seybold Clinic - Pearland Business Office (2382835) Appeals and...  ...from more than 900 medical providers in 65 medical...  ...requirements. As the primary liaison for the CMS regional office...  ...Medical Director, Clinic Operations Management, Part D Management... 
    Work at office
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    Optum

    Pearland, TX
    1 day ago
  • $16 - $29 per hour

     ...Business Office Customer Service Representative Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading...  ...we offer care from more than 900 medical providers in 65 medical specialties. Take on a... 
    Work at office
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Pearland, TX
    2 days ago
  • $229.5k - $378k

     ...As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties...  ...Highlights: At Kelsey-Seybold Clinic, our Internal Medicine...  ...will see patients in office from 8am-5pm Monday...  ...in the State of Texas Board Certified or... 
    Work at office
    Minimum wage
    Work experience placement
    Local area
    Monday to Friday
    Night shift

    UnitedHealthcare

    Pearland, TX
    1 day ago
  • $134.6k - $230.8k

     .... Job Description - Sr. Director Supply Chain Mgmt. - Kelsey Seybold Clinics- Pearland, TX (2378845) Sr. Director...  ...than 900 medical providers in 65 medical...  ...logistics strategy, operations, policies, objectives...  ...management and development of related vendor relationships... 
    Senior
    Minimum wage
    Full time
    Work experience placement
    Local area
    Monday to Friday

    Optum

    Pearland, TX
    3 days ago
  • $91.7k - $163.7k

     ...Certified Analyst: Kelsey-Seybold Clinic - Pearland, TX (2378384)...  ...than 900 medical providers in 65 medical...  ...from home and the office in this hybrid role...  ...and coach staff related to ongoing...  ...healthcare clinical operations, project...  ...required Valid Texas Driver’s License... 
    Work at office
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Work from home
    Monday to Friday
    Flexible hours

    Optum

    Pearland, TX
    4 days ago
  • $91.7k - $163.7k

     ...Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of...  ...from more than 900 medical providers in 65 medical specialties....  ...designed to set strategy and operational plan for development of...  ...features, and Kelsey-Seybold ACO network plan benefits to brokers,... 
    Network
    Minimum wage
    Full time
    Work experience placement
    Local area

    UMR

    Pearland, TX
    1 day ago
  • $18 - $32 per hour

     ...Join Kelsey-Seybold Clinic Explore opportunities with Kelsey-Seybold Clinic, part of the Optum...  ...offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding...  ..., you will be required to work in the office a minimum of four days per week.... 
    Work at office
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    Reliant Medical Group

    Pearland, TX
    1 day ago
  • $18 - $32 per hour

     ...Representative Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of...  ...offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding...  ...Must be able to meet Central Business Office standards for established production... 
    Work at office
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealthcare

    Pearland, TX
    3 days ago
  • $72.8k - $130k

     ...Project Mgr - ONSITE Kelsey Seybold, Pearland, TX (2379213)...  ...Kelsey-Seybold Clinic, part of the...  ...than 900 medical providers in 65 medical specialties...  ...projects related to strategic, financial...  .../clinical operations Solid knowledge...  ...in Microsoft Office Suite Proven ability... 
    Work at office
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area
    Monday to Friday
    Shift work

    Optum

    Pearland, TX
    3 days ago
  • $18 - $32 per hour

     ...Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of...  ...from more than 900 medical providers in 65 medical specialties....  ...supervision of the Business Office Supervisor, the Insurance...  ...environment with constant work-related interruptions.... 
    Work at office
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    United Health Group

    Pearland, TX
    1 day ago
  • $16 - $25.05 per hour

    Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with...  ...care from more than 900 medical providers in 65 medical specialties. Take on a...  ...departments. This role also supports warehouse operations and reports maintenance or repair... 
    Work at office
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    Optum

    Pearland, TX
    5 days ago
  • $238.5k - $392.5k

     ...Explore opportunities with Kelsey‑Seybold Clinic, part of the Optum family of...  ...offer care from 1000+ medical providers in 65 medical specialties....  ...You will see patients in the office from 8am‑5pm Monday through...  ...be licensed in the State of Texas Board Certified or Board Eligible... 
    Work at office
    Minimum wage
    Work experience placement
    Local area
    Monday to Friday
    Night shift

    Optum

    Pearland, TX
    2 days ago
  • $91.7k - $163.7k

     ...opportunities with Kelsey-Seybold Clinic, part of the...  ...than 900 medical providers in 65 medical specialties...  ...as to select operational and functional...  ...are located in Pearland, TX, you will...  ...Central Business Office, Pharmacy...  ...queries against relational databases Experience... 
    Work at office
    Remote job
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Local area

    Optum

    Pearland, TX
    3 days ago
  • $200k - $275k

     ...candidatesExplore opportunities with Kelsey-Seybold Clinic, part of the Optum family...  ...from more than 900 medical providers in 65 medical specialties....  ...of complex clinical and operational issues and supports the...  ...radiological physics per the Texas Occupations Code §602Active... 
    Senior
    Minimum wage
    Full time
    Work experience placement
    Local area
    Relocation package

    UnitedHealth Group

    Webster, TX
    1 day ago
  • $18 - $32 per hour

     ...Control Specialist - Kelsey Seybold Clinic - Facilities (237...  ...than 900 medical providers in 65 medical...  ...or install parts related to the AMAG Access...  ...IT on the KS Network as it applies to...  ...Automatic Door Service Texas Alarm Installer...  ...hours of operation are 7 a.m. to 7 p... 
    Network
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Relocation
    Monday to Friday

    Optum

    Pearland, TX
    3 days ago
  • $244k - $423k

     ...Neurologist Opportunity At Kelsey-Seybold Clinic Explore opportunities with Kelsey-Seybold Clinic...  ...offer care from more than 900 medical providers in 65 medical specialties. Take on a...  ...neurological disorders. They see patients in the office from 8-5pm Monday through Friday. One... 
    Work at office
    Minimum wage
    Work experience placement
    Local area
    Monday to Friday
    Weekend work
    Afternoon shift
    Weekday work

    UnitedHealthcare At Home

    Webster, TX
    5 days ago
  • $18 - $32 per hour

     ...Explore Opportunities with Kelsey-Seybold Clinic Work with one of...  ...than 900 medical providers in 65 medical specialties...  ...understands how this relates to creating a caring...  ...standards set by Operations. Issues receipts for...  ...the Central Business Office. Interacts with patients... 
    Work at office
    Hourly pay
    Daily paid
    Minimum wage
    Full time
    Work experience placement
    Local area

    UMR

    Pasadena, TX
    1 day ago
  • $18 - $32 per hour

     ...Explore Opportunities With Kelsey-Seybold Clinic Work with one of the nation...  ...from more than 900 medical providers in 65 medical specialties....  ...DME) requests, call center operations, and continuity of care...  ..., case management, medical office, hospital, health plan, accountable... 
    Work at office
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work

    UnitedHealthcare At Home

    Pearland, TX
    2 days ago
  • $18 - $32 per hour

     ...Explore Opportunities with Kelsey-Seybold Clinic Work with one of the nation's leading...  ...from more than 900 medical providers in 65 medical specialties. Take...  ...facing role within a medical office, healthcare setting or other service-related industry OR 1+ years KSC ASR I... 
    Work at office
    Hourly pay
    Daily paid
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealthcare At Home

    Webster, TX
    3 days ago
  • Kelsey-Seybold Clinic in Pearland, part of the Optum family, seeks an Appeals and Grievances Coordinator to manage Medicare reconsiderations...  ...with CMS rules. This role acts as the primary liaison for the CMS regional office and coordinates resolutions with all delegated... 
    Work at office

    Optum

    Pearland, TX
    1 day ago
  • $42.7k - $52.74k

    Responsibilities The Sr. Account Payable Processor will...  ...Processor Location: Pearland Administrative Office Department: Finance and...  ...Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing...  ...to grow, our focus is providing quality patient care by adding... 
    Work at office
    Senior
    Full time
    Work experience placement

    Kelsey-Seybold

    Pearland, TX
    5 days ago
  • Texas Oncology in Pearland, Texas is seeking a Scheduler to coordinate patient appointments and tests in...  ...growth within The US Oncology Network. Ideal candidates have a high school diploma...  ...skills, and proficiency with Microsoft Office. #J-18808-Ljbffr US Oncology Network-... 
    Work at office
    Network

    US Oncology Network-wide Career Opportunities

    Pearland, TX
    3 days ago
  • Kelsey-Seybold Clinic in Houston area is seeking a coder to ensure accurate ICD...  ...across our multi-specialty network. You may work remotely from...  ...anywhere in the U.S., with in-office requirements only in...  ...area four days per week. #J-18808-Ljbffr Texas Health Institute
    Work at office
    Network
    Remote job

    Texas Health Institute

    Pearland, TX
    3 days ago
  • Kelsey-Seybold Clinic, part of the Optum family, seeks an ED RN Case Manager to...  ...ecosystem. Located in Pearland, TX, this role offers flexibility...  ...nationally recognized healthcare network with comprehensive benefits...  ...opportunities. #J-18808-Ljbffr Texas Health Institute
    Network
    Remote job

    Texas Health Institute

    Pearland, TX
    1 day ago
  •  ...Student Externship - Pearland Department: Vet Students...  ...Location: Pearland, Texas Description We're actively...  ...students for both clinical year externships and paid...  ...veterinarians by providing the tools, mentorship,...  ...every clinic across our network. About Our Program Our... 
    Network
    Temporary work
    Summer holiday
    Flexible hours

    Accreditation Council For Graduate Medical Education

    Pearland, TX
    1 day ago
  •  ...Oncology Network is looking...  ...our team at Texas Oncology ....  ...our Pearland, Texas location...  ...Pearland provides easy access...  ...Serves as a liaison between...  ...and pages clinic personnel...  ...physician and/or office guidelines...  ...relating to referrals...  ...on all pre-operative tests to ensure... 
    Work at office
    Network
    Full time
    Temporary work
    Shift work

    US Oncology Network-wide Career Opportunities

    Pearland, TX
    3 days ago
  • Kelsey-Seybold Clinic, part of the Optum family, seeks Internal Medicine physicians to care for adult...  ...clinic. You will see patients in the office from 8am-5pm, Monday through Friday,...  ...nationally recognized multi-specialty network with access to sub-specialists, imaging... 
    Work at office
    Network
    Monday to Friday

    Optum

    Pearland, TX
    2 days ago
  • Overview Texas Oncology is seeking an Oncology Infusion...  ...(RN) to support our Pearland, Texas location. The position...  ...and family needs and provide teaching and...  ...an oncology/hematology clinic environment. Reasonable...  ...808-Ljbffr US Oncology Network-wide Career Opportunities
    Network
    Temporary work
    Monday to Friday

    US Oncology Network-wide Career Opportunities

    Pearland, TX
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Sr Provider Relations Liaison - Comm. Network Operations - Pearland Admin Office - Kelsey Seybold Clinic 2378340 | Pearland, Texas | Kelsey-Seybold Clinic. Be the first to apply!