Provider Relations Advocate - Remote within Philadelphia Metro Area

UnitedHealth Group•Philadelphia, PA

10d•$60,200 - $107,400•Remote

About The Position

The Provider Relations Advocate role with UnitedHealth Group calls on your knowledge, energy, and commitment to making healthcare work more effectively for more people. This role is responsible for building better, more effective provider networks. You will use your solid customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. This position offers the impact you want and the resources, backing, and opportunities expected from a Fortune 5 leader. Positions in this function are accountable for the full range of provider relations and service interactions within Optum and UHG, including working on end-to-end provider claim and call quality, 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. If you are located within the Philadelphia Metro Area, you will have the flexibility to work remotely.

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

Nice To Haves

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

Responsibilities

Assist in end-to-end provider claims and help enhance call quality
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