Manager, Provider Liaisons - Naviguard Minnetonka, MN or Telecommute

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Are you eager to make an impact on one of the most important and underserved issues in the US healthcare system? Naviguard, a fully owned UnitedHealth Group Ventures company, is on a mission to protect patients from surprise bills by building a revolutionary consumer protection business. This new business will be dedicated to helping patients understand and mitigate the unexpected financial risks they face. As an employee of this new business, you can expect to be a part of a dynamic organization that is fast-paced and driven by our vision to promote healthcare affordability and accountability nationwide.

As the Manager, Provider Liaisons you will be supporting a new business build from the ground up for the next several years. In this role, you will supervise the daily activities of the business, including direct engagement with providers and collaboration with existing UnitedHealth Group departments, processes, and technologies. This position requires a motivated self-starter with a blend customer service experience, provider negotiation, process knowledge, and strong analytical, communication, and leadership skills.

Primary Responsibilities:
  • Manage a team of Provider Liaisons who will engage directly with consumers to provide support and guidance, gather appropriate information, and maintain ongoing communications with providers until the consumer issue has been resolved
  • Research complex billing and claims issues across multiple systems, identify and complete root cause analysis, and partner with internal and external support resources to drive resolution
  • Strong familiarity with all provider types and contracting, as well as an understanding of the non-participating provider market dynamic
  • Assimilate negotiation data quickly to support the team in active negotiations and on the spot training
  • Receive and resolve any escalated provider issues or complaints
  • Manage to Standard Operating Procedures for staff
  • Leverage operational reports to analyze and monitor individual performance
  • Provide one on one coaching and conduct performance reviews
  • Support recruitment, hiring, and training of the Provider Liaisons
  • Perform other duties as assigned

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:
  • Undergraduate degree
  • 5+ years of provider negotiation experience OR negotiation experience on behalf of a medical office or other healthcare providers,
  • Experience with call center management, ability to quickly identify, analyze and solve process/work flow problems in order to improve the negotiation process
  • 2+ years of leadership and management experience

Preferred Qualifications:
  • Experience with UnitedHealth Group departments and systems, particularly network management, network negotiation or provider services
  • Familiarity with contracting methodologies and processes employed by UHC network management Critical thinker with the ability to solve complex problems
  • Ability to quickly establish productive relationships through electronic and telephonic means which are beneficial to both Naviguard and the provider.
  • Highly motivated individual with a passion for helping consumers navigate the complicated healthcare system
  • Ability to listen skillfully, collect relevant information, build rapport and respond to providers in a compassionate yet firm manner
  • Proficiency with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Ability to tailor know solutions to meet the needs of a rapidly changing business
  • Experience managing multiple, intersecting business unit relationships
  • Ability to influence complicated courses of action when others are directly accountable for outcomes
  • Previous healthcare experience

At Naviguard, we are dedicated to helping people better understand and mitigate the financial risks they face when planning important medical procedures, or when they have received unplanned or emergency care. As a member of our team, you will contribute to a dynamic and fast-paced start-up business, driven by a vision to promote affordability and accountability in healthcare nationwide.

Does this sound like your kind of purpose and challenge?

Diversity creates a healthier atmosphere: Naviguard 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.

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