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Provider Advocate, Dental - Remote in Georgia

Lensa

Atlanta (GA)

Remote

USD 59,000 - 117,000

Full time

2 days ago
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Job summary

A leading healthcare company is seeking a Provider Advocate, Dental to support network growth and improve provider experiences in Georgia. This remote role involves managing provider relationships and addressing concerns, ensuring effective communication and education initiatives. Candidates should have relevant experience in network management and the healthcare industry, with opportunities for professional development and a comprehensive benefits package.

Benefits

Comprehensive Benefits Package
Incentive Programs
Stock Purchase Options
401k Plan

Qualifications

  • 2+ years in network management or provider relations.
  • Healthcare or dental industry experience required.

Responsibilities

  • Support network gap remediation by recruiting providers.
  • Manage Medicaid business and address state-level complaints.

Skills

Sales Presentation Skills
Provider Relations
Network Management

Tools

MS Excel
MS Outlook
MS Word
Salesforce
MS PowerPoint

Job description

Provider Advocate, Dental - Remote in Georgia

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Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Provider Advocate, Dental role is pivotal in delivering support to address provider issues, including escalating concerns related to member placement. The position also involves providing advanced provider education for Georgia, ensuring effective communication and issue resolution.

This role is critical to advancing the network's strategic goals, directly influencing network growth targets, Net Promoter Scores (NPS), and improving provider and member experiences.

If you are located in Georgia, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities
  • Supporting network gap remediation by recruiting providers at appropriate fee structures
  • Assisting with fee renegotiations
  • Managing projects as needed, specifically in GA, a dedicated Provider Advocate is essential to manage the Medicaid business which includes:
  • Addressing state-level complaints
  • Conducting provider education initiatives
  • Representing the organization at Dental Association meetings
  • Providing overall network support to meet access standards and metrics

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear guidance on succeeding in your role, along with development opportunities for other roles you may be interested in.

Required Qualifications
  • 2+ years of experience in a network management-related role, such as contracting or provider relations
  • Healthcare and/or dental industry experience
  • Experience prospecting new and existing provider leads
  • Proficiency with MS Excel, Outlook, and Word (intermediate level)
  • Willing and able to travel approximately 25% within the territory or as needed
  • Valid driver’s license and reliable transportation
  • Reside in Georgia
Preferred Qualifications
  • Exceptional sales presentation skills in high-pressure environments
  • Proven dental industry knowledge
  • Experience as a Dental Treatment Plan Coordinator or Dental Office Manager
  • Knowledge of PPO and Medicare/Medicaid products
  • Experience in sales or call environments
  • Salesforce and MS PowerPoint experience
  • Knowledge of claims processing systems and guidelines

The salary range for this role is $59,500 to $116,600 annually, based on full-time employment and various factors such as location, experience, and certifications. UnitedHealth Group offers a comprehensive benefits package, incentive and recognition programs, stock purchase options, and a 401k plan. Benefits are subject to eligibility.

Our mission is to help people live healthier lives and improve the health system for everyone. We are committed to addressing health disparities and promoting equitable care, especially for marginalized groups. We also focus on environmental sustainability.

UnitedHealth Group is an Equal Opportunity Employer and a drug-free workplace. Candidates must pass a drug test prior to employment.

Additional Details
  • Seniority level: Entry level
  • Employment type: Full-time
  • Job function: Legal
  • Industries: IT Services and IT Consulting
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