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For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. 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. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
You will be covering territories in the Bronx and New York counties.
If you are located in New York or Bronx counties, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Provider education and outreach regarding policies, processes, and ease of use of our provider self-service portal, provider express
- Responsible for the delivery of external provider training and education programs either in-person, virtually or through larger external provider events (MGMA, Provider Town Hall and Expos)
- Build and nurture trusted relationships with high touch and territorial providers in assigned counties for all LOB
- Establish recurring monthly meetings with assigned high-touch providers to discuss outstanding issues and the appropriate escalation path for resolution
- 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
Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.
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:
- 4+ years of health care/managed care experience
- 2+ years of provider relations and/or provider network experience
- 2+ years of experience with claims processing and/or issue resolution
- 1+ years of experience with Medicare and Medicaid regulations
- Proficiency with MS Word, Excel, PowerPoint, and Access
- Ability to travel local 10-15%
Preferred Qualifications:
- Experience with individual providers and facilities
- Engagement with internal resources to project manage provider issue resolution (claims, credentialing, provider set-up)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.