Provider Relations Advocate - Remote within Philadelphia Metro Area

About the role

The Provider Relations Advocate role with UnitedHealth Group calls on your knowledge, energy, and commitment to make healthcare work more effectively for more people. You will use your solid customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks.

Responsibilities

• Aid in end-to-end provider claims and help enhance call quality
• Aid 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
• 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
• 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

Qualifications

• 3+ years of health care or managed care experience
• 3+ years of provider relations experience with client account management
• 2+ years of experience with Medicare and Medicaid regulations
• Intermediate level of proficiency in claims processing and issue resolution

Preferred Qualifications

• 3+ years of health care or managed care experience
• 3+ years of provider relations experience with client account management
• 2+ years of experience with Medicare and Medicaid regulations
• Intermediate level of proficiency in claims processing and issue resolution

Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, 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. We comply with all minimum wage laws as applicable.

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.