Jobs · Legal · Texas

Provider Relations Advocate

Optum · McAllen, TX · 2 mo ago
Legal$60k–$107k/yrFull-time

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
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

Required Qualifications

  • High School Diploma/GED
  • 4+ years of health care/managed care experience
  • 2+ years of provider relations and/or provider network experience
  • 1+ years of experience in claims processing and issue resolution
  • 1+ years of experience with Medicare and Medicaid regulations
  • Ability to travel as needed 50 - 75%
  • Intermediate level of proficiency with MS Office
  • Access to reliable transportation and valid US driver's license

Preferred Qualifications

  • Bachelor's degree in related field

Benefits

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Pay and Benefits

The salary for this role will range from $60,200 to $107,400 annually based on full-time employment.

About the Role

Join us and discover the meaning behind Caring. Connecting. Growing together.

UnitedHealth Group

We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles.

Equal Opportunity Employer

UnitedHealth Group 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.

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