Provider Relations Advocate
UnitedHealth Group•McAllen, TX
•Hybrid
About The Position
Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping people achieve improved health outcomes. Explore rewarding opportunities for physicians, clinical staff and non-patient-facing roles. Join us and discover the meaning behind Caring. Connecting. Growing together.
Requirements
- High School Diploma/GED
- 4+ years of health care/managed care experience
- 2+ years of provider relations and/or provider network experience
- 1+ years of experience in claims processing and issue resolution
- 1+ years of experience with Medicare and Medicaid regulations
- Ability to travel as needed 50 - 75%25
- Intermediate level of proficiency with MS Office
- Access to reliable transportation and valid US driver’s license
Nice To Haves
- Bachelor’s degree in related field
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
- Ability to travel as needed 50 - 75%25 within market
Benefits
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability 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 (pet insurance, legal insurance, LTC Insurance, etc.)
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
