Provider Relations Advocate
About The Position
The Provider Relations Advocate at UnitedHealth Group/WellMed serves as an advocate for providers in the organization’s networks, using customer service skills and knowledge of insurance claims to help make health care work more effectively. The role supports provider claims and call quality, improves the usability of the physician portal and future services, and helps build positive relationships among the health plan, providers, and practice managers. It also contributes to provider network development, provider education, and identifying gaps in network composition and services. The position is remote within Texas, with travel as needed in the market. The schedule is Monday through Friday, 8 AM to 5 PM, with a flexible time zone.
Requirements
- High school diploma or GED.
- At least 4 years of health care or managed care experience.
- At least 2 years of provider relations and/or provider network experience.
- At least 1 year of experience in claims processing and issue resolution.
- At least 1 year of experience with Medicare and Medicaid regulations.
- Intermediate proficiency with MS Office.
- Ability to travel as needed; the posting states 50–75%25.
- Access to reliable transportation and a valid U.S. driver’s license.
- Telecommuters must adhere to UnitedHealth Group’s Telecommuter Policy.
- Candidates must pass a drug test before beginning employment.
Nice To Haves
- Bachelor’s degree in a related field.
Responsibilities
- Assist with end-to-end provider claims and help enhance call quality.
- Assist in efforts to improve the ease of use of the physician portal and future service enhancements.
- Contribute to the design and implementation of programs that build and nurture positive relationships between the health plan, providers, and practice managers.
- Support the development and management of provider networks.
- Help implement training and development for external providers through education programs.
- Identify gaps in network composition and services to assist network contracting and development teams.
- Travel as needed within the market; the posting states 50–75%25.
Benefits
- Paid time off accrued beginning with the first pay period.
- Eight paid holidays.
- Medical plan options and participation in a Health Spending Account or Health Savings Account.
- Dental, vision, life and AD&D insurance.
- Short-term 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, including pet insurance, legal insurance, and long-term care insurance.
- Performance rewards and incentive and recognition programs.
- Development opportunities for other roles.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
