Dental Provider Advocate

UnitedHealth Group•Albany, NY

20h•$60,200 - $107,400•Remote

About The Position

The Dental 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. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader. The Dental Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including being the face of UnitedHealthcare (UHC) Dental, in addition to Healthplex and its clients, in the field with our providers and the liaison for provider contracting questions, claim and call quality, ease of use of provider web portal, future service enhancements and training & development of provider education programs. The role may be involved in identifying and remediating operation short-falls and researching and resolving complex claims and claims issues. The role also ensures the network composition includes an appropriate distribution of provider specialties, including recruitment and contracting as needed. This role may involve Commercial, Medicare and Medicaid programs. This position will cover an assigned territory in NY but may not be limited to NY. The individual selected should live within/or proximal to Upstate NY to allow for provider visitation. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

1+ years of experience in a network management related role, such as contracting, provider relations or provider services and/or experience working in a dental office in a management capacity
1+ years of experience with Medicaid and Medicare reimbursement methodology (ie. APG, PPS, FFS, Capitation)
Basic level of proficiency with MS Excel
Travel 20-25%25 which may include provider visits, conferences, meetings, etc. in upstate New York
Access to reliable transport and valid US driver's license
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

Knowledge of PPO reimbursement methodologies
Provider contracting experience
Knowledge of Dental products/providers
Knowledge of claim processing systems and guidelines
Excellent verbal and written communication skills
Strong interpersonal skills, ability to establish rapport and work well with others
Undergraduate degree or equivalent experience
Strong customer service skills