Provider Relations Advocate LTSS - Remote Multiple Specific...
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? 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 LTSS (Long Term Supports and Services) 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 strong 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.
If you are located in one of the Texas counties of Maverick, McMullen, Webb, Duval, Zapata, Jim Hogg, Starr, Hidalgo, Willacy, Cameron, you will have the flexibility to work remotely* as you take on some tough challenges. This position requires travel up to 75% based on business needs.
Primary Responsibilities:
? 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
? 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 a part of a performance driven, fact 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 healthcare/managed care experience
? 2 years of provider relations and / or provider network experience
? 1 years of experience with Medicare and Medicaid regulations
? Intermediate level of proficiency in claims processing and issue resolution
? Proficiency with MS Word, Excel, PowerPoint, and Access
Preferred Qualification:
? Undergraduate degree
? All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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: UnitedHealth Group 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
Apply Now
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 LTSS (Long Term Supports and Services) 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 strong 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.
If you are located in one of the Texas counties of Maverick, McMullen, Webb, Duval, Zapata, Jim Hogg, Starr, Hidalgo, Willacy, Cameron, you will have the flexibility to work remotely* as you take on some tough challenges. This position requires travel up to 75% based on business needs.
Primary Responsibilities:
? 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
? 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 a part of a performance driven, fact 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 healthcare/managed care experience
? 2 years of provider relations and / or provider network experience
? 1 years of experience with Medicare and Medicaid regulations
? Intermediate level of proficiency in claims processing and issue resolution
? Proficiency with MS Word, Excel, PowerPoint, and Access
Preferred Qualification:
? Undergraduate degree
? All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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: UnitedHealth Group 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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment
Apply Now