UnitedHealth Group

UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of

Provider Relations Advocate

Location

United States

Posted

3 days ago

Salary

$60.2K - $107.4K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Provider Relations Advocate

UnitedHealth Group

Role Description The Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, energy, and commitment to making health care work more effectively for more people. In this role, you'll use your solid customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. - Accountable for the full range of provider relations and service interactions within Optum and UHG. - Work on end-to-end provider claim and call quality, ease of use of physician portal, and future service enhancements. - Design and implement programs to build and nurture positive relationships between the health plan, providers, and practice managers. - Direct and implement strategies relating to the development and management of a provider network. - Identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. - May also be involved in identifying and remediating operational short-falls and researching and remediating claims. If you are located within the Philadelphia Metro Area, you will have the flexibility to work remotely as you take on some tough challenges. - Assist in end-to-end provider claims and help enhance call quality. - Assist in efforts to enhance ease of use of physician portal and future services enhancements. - Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers. - Support development and management of provider networks. - Help implement training and development of external providers through education programs. - Identify gaps in network composition and services to assist network contracting and development teams. Qualifications - High school diploma. - 3+ years of customer service experience. - 3+ years of sales experience in a fast-paced, client relationship-focused role. - Proficiency with MS Office Suite, Excel intermediate proficiency. - Polished communication skills. - High degree of organizational skills. - Proven ability to determine priority levels. - Driver’s License and access to reliable transportation. Requirements - 3+ years of health care or managed care experience (preferred). - 3+ years of provider relations experience with client account management (preferred). - 2+ years of experience with Medicare and Medicaid regulations (preferred). - Intermediate level of proficiency in claims processing and issue resolution (preferred). Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - Salary range: $60,200 - $107,400 annually based on full-time employment.

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