Senior Provider Relations Advocate - Remote - Pacific Coast Hours

UnitedHealth Group•San Diego, CA

2d•$72,800 - $130,000•Remote

About The Position

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Positions in this function are accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims. Generally, work is self-directed and not prescribed. This is a field-based role with frequent on-site visits and meetings with physician groups or hospital systems. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

5+ years of health care and/or managed care experience
3+ years of provider relations and/or provider network experience
1+ years of experience with Medicare or Medicaid regulations
Experience working directly with physician groups or hospital systems in the provider community
Intermediate level of proficiency in claims processing and issue resolution
Intermediate proficiency with MS Word, Excel, PowerPoint
Willing and able to travel up to 25%
Willing and able to work Pacific Coast Hours

Nice To Haves

Experience with hospital and ancillary claims
Proven excellent presentation skills with experience and comfortability presenting to others

Responsibilities

Assist in end-to-end provider claims
Coach, provide feedback and guide others
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
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
Work with less structured, more complex issues
Serve as a resource to others