Provider Relations Advocate

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.

About the role

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 strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. You'll be part of a performance-driven, fast-paced organization serving multiple markets, charged with educating and building relationships with providers to evolve ongoing processes and programs.

If you reside within 50 miles of Kansas, you'll enjoy the flexibility to work remotely as you take on some tough challenges.

Responsibilities

• Assist in end-to-end provider claims and help enhance quality relationships with the providers
• 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

Requirements

• 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 with Medicare and Medicaid regulations
• Intermediate level of proficiency in claims processing and issue resolution
• Intermediate level of proficiency with MS Word, Excel, PowerPoint, and Access
• Reside within 50 miles of Kansas

Preferred Qualifications

• Undergraduate degree
• Ability to research and resolve issues
• Strong organization and follow-through skills
• Ability to manage competing priorities

All telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Benefits

In addition to your salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).

Pay

The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.