Senior Provider Relations Advocate - Hybrid - New Jersey

UnitedHealth Group Inc.•East Brunswick, NJ

34d•Hybrid

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. The Senior Provider Relations Advocate is tasked with managing and nurturing relationships between the healthcare organization and its network of providers. This role is crucial for ensuring providers are informed, engaged, and satisfied with their interactions with the organization, ultimately impacting the quality of care delivered to patients. The Senior Provider Relations Advocate is essential for maintaining a positive and productive relationship between healthcare providers and the organization. This role requires a strategic thinker with deep knowledge of the healthcare industry, and the ability to maintain strong professional relationships. Effective performance in this role significantly impacts the quality of care and operational efficiency of the healthcare network. This position follows a hybrid schedule with a combination of in-office, remote and travel up to 30% based on business needs.

Requirements

5+ years of experience in provider relations or network management within a healthcare setting
In-depth understanding of healthcare systems, provider operations, and relevant regulations (e.g., HIPAA, ACA)
Ability to work a Hybrid position including office, remote, and travel up to 30% of the time based on business needs
Driver's License and access to a reliable transportation

Nice To Haves

Excellent communication, negotiation, and interpersonal skills

Responsibilities

Serve as the primary liaison between the organization and healthcare providers
Organize and lead regular meetings with staff and providers to discuss updates, gather feedback, and address concerns
Ensure providers have access to the necessary tools and resources to effectively manage their practices within the network
Promptly address and resolve provider issues and disputes, including claims disputes, reimbursement concerns, and contractual matters
Implement effective mechanisms for provider feedback and issue resolution to prevent future problems
Address and resolve complex issues and disputes between providers and the organization
Ensure all provider interactions comply with healthcare regulations, contractual agreements, and organizational policies
Monitor and report on key performance indicators related to provider satisfaction, network utilization, and team productivity
Prepare comprehensive reports and presentations for senior management
Collaborate with other departments (such as claims, compliance, and customer service) to align provider relations strategies with overall business objectives
Identify and implement improvements in provider communication, processes, and technologies to enhance overall efficiency and satisfaction
Role will support all provider types, as necessary