Provider Relations Advocate

UnitedHealth Group; McAllen (TX); Remoto; USD 60.000 - 107.000; Tempo pieno

Vantaggi offerti da questo lavoro

Paid Time Off & Holidays

Medical Plan options

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Descrizione del lavoro

UnitedHealth Group is seeking a Provider Relations Advocate to strengthen provider networks and improve claims processes. This remote role operates within Texas and may require 50-75% travel within the market. Strong customer service and knowledge of insurance claims are essential.

The position offers comprehensive benefits and opportunities to grow within a Fortune 6 company focused on delivering better care for more people.

Competenze

• 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 50-75%.

Mansioni

• 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% within market.

Conoscenze

Health care experience

Provider relations

Provider network

Claims processing

Medicare/Medicaid regulations

MS Office

Reliable transportation

Formazione

High School Diploma or GED

Bachelor's degree preferred

Strumenti

MS Office

Descrizione del lavoro

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 behindCaring. Connecting. Growing together.

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

Schedule:Monday to Friday, 8 AM- 5 PM, flexible time zone

Location:Remote in Texas

You will enjoy the flexibility to telecommute* from anywhere within Texas as you take on some tough challenges.

Primary 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% within market

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 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%
• Intermediate level of proficiency with MS Office
• Access to reliable transportation and valid US driver's license

Preferred Qualifications:

• Bachelor's degree in related field

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.