Provider Relations Advocate - Field-Based Impact

Unitedhealthcare

Murray (UT)

On-site

USD 73,000 - 130,000

Full time

8 days ago

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Job summary

UnitedHealthcare is seeking a field-based Provider Relations professional to support end-to-end provider claims and network development. You will build strong relationships with physician groups and hospital systems while guiding education programs and training for external providers.

The role requires 3+ years in health care or managed care, provider relations experience, and willingness to travel up to 25% and work Mountain Time hours.

Qualifications

  • 3+ years in health care or managed care.
  • 3+ years in provider relations or provider network.
  • 1+ years with Medicare or Medicaid regulations.
  • Experience with physician groups or hospital systems.
  • Proficiency in claims processing and issue resolution.
  • Proficient in MS Word, Excel, and PowerPoint.

Responsibilities

  • Assist in end-to-end provider claims.
  • Coach, provide feedback and guide others.
  • Enhance ease of use of physician portal and future services enhancements.
  • Design and implement programs fostering provider relationships between health plan, providers and practice managers.
  • Support training and development of external providers through education programs.
  • Identify gaps in network composition and services to assist contracting teams.
  • Work with senior management to evolve ongoing processes and programs.

Skills

Provider relations
Travel readiness
MS Office proficiency
Communication skills

Tools

MS Word
Excel
PowerPoint

Job description

UnitedHealthcare is seeking a field-based Provider Relations professional to support end-to-end provider claims and network development. You will build strong relationships with physician groups and hospital systems while guiding education programs and training for external providers.

The role requires 3+ years in health care or managed care, provider relations experience, and willingness to travel up to 25% and work Mountain Time hours.

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