Provider Services Advocate, East Tennessee Region Remote - 2295813

UnitedHealth Group; Brentwood (TN); Remote; Confidential; Full time

Job summary

UnitedHealth Group is seeking a Provider Service Representative to enhance provider relations and ensure compliance within the East Tennessee region. This role involves managing provider interactions, training, and maintaining positive relationships, requiring frequent travel and strong communication skills. Ideal candidates will have previous healthcare experience and a solid analytical background.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Qualifications

• 2+ years of work experience in health care.
• 2+ years in Provider Relations and/or Contracting.
• Experience and knowledge of Medicaid preferred.

Responsibilities

• Assist in training and ongoing education of providers on policies.
• Conduct on-site assessments for compliance with contracts.
• Troubleshoot provider concerns for timely resolution.

Skills

Analytical skills

Communication skills

Presentation skills

Proven ability to manage projects

Intermediate MS Office skills

Job description

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 Service Representative is responsible for assisting in the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training and development of external provider education programs. Provider Service Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.

Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

If you are resident of East Tennessee Region, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Training and on-going education of providers on policies and procedures
• On-site assessments to ensure that providers are compliant with contractual terms
• Trouble shooting provider concerns internally with the expectation of timely resolution of issues
• Traveling to provider offices quarterly to build relationships, up to 75% travel within specific region in Tennessee
• Presentations to train providers on new requirements, or reiterate existing requirements
• Documenting outreach, as applicable

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.

Eligible candidates must be a resident ofEast Tennessee Region.

Required Qualifications:

• 2+ years of work experience (preferably in health care)
• 2+ years of experience in Provider Relations and/or Contracting
• Intermediate level skills with MS Office Products including Excel, Word, and Powerpoint
• Travel in state (up to 75%) for provider visits
• Proven solid analytical skills
• Proven excellent written and verbal communication and presentation skills
• Proven ability to balance multiple high priority projects and meet quick deadlines

Preferred Qualifications:

• Experience working in the healthcare industry, in a role where provider interaction was involved
• Experience and knowledge with Medicaid
• Experience and knowledge with Long-Term Services and Supports providers

*All employees working remotely 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 $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.