Provider Relations Advocate - Remote - 2286117

UnitedHealth Group; Orlando (FL); Remote; Confidential; Full time

Job summary

A leading health organization seeks a Provider Relations Advocate to support and enhance provider relationships, ensuring effective healthcare delivery. The role is flexible for remote work within the U.S. and involves assisting with claims and nurturing positive relationships within the healthcare network. Ideal candidates will have strong customer service skills and healthcare experience, contributing to our mission of improving health outcomes.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 2+ years of healthcare experience in an office, clinical, or provider relations setting.
• Intermediary proficiency with MS Office apps is crucial.
• Experience in provider relations is preferred.

Responsibilities

• Assist in end-to-end provider claims and enhance call quality.
• Support development and management of provider networks.
• Educate and build relationships with providers.

Skills

Customer service orientation

Knowledge of insurance claims

Proficiency with MS Suite

Education

Associates degree or higher in Healthcare Administration, Business Administration or related field

Bachelor’s Degree preferred

Job description

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. 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 4 leader.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. 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

Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.

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

Required Qualifications

•Associates degree or higher, preferably in Healthcare Administration, Business Administration or a related field (Two additional years of comparable work experience beyond the required years of experience may be substituted in lieu of an Associate’s degree).

•2+ years of healthcare experience in an office, clinical, provider relations, or payer setting

•Intermediate proficiency with MS Suite (including Word, PowerPoint, and Excel)

•4+ years of health care/managed care experience

•2+ years provider relations and/or provider network experience

•Proficiency with MS Word, Excel, PowerPoint and Access

•Live in the state of Florida. Orlando preferred.

Preferred Qualifications

•Bachelor’s Degree with a significant understanding of healthcare delivery systems, provider contracting, reimbursement arrangements and network management.

•Experience in group presentations and training.

•Professional provider relations experience involving physicians and administrative staff.

• Provider recruitment and contracting experience.

•Knowledge of Managed Care and Medicare programs.

•Bilingual proficiency in English/Spanish preferred.

•Risk Adjustment knowledge related to CMS reimbursement models.

•Understanding of medical care delivery model and local market business dynamics.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.