Remote Provider Relations Advocate | Network Growth

UnitedHealth Group; McAllen (TX); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Job summary

UnitedHealth Group seeks a Provider Relations Advocate to support providers across Texas in a remote-capable role, focusing on end-to-end provider claims, portal improvements, and network development. Travel up to 75% within the market is required.

The role emphasizes strong customer service, knowledge of Medicare/Medicaid regulations, and collaboration with payers, providers, and practice managers to enhance care delivery.

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 claims processing and issue resolution.
• 1+ years of experience with Medicare and Medicaid regulations.
• Ability to travel as needed 50-75%.
• MS Office proficiency.
• Access to reliable transportation and valid US driver’s license.

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.

Skills

Customer service

Insurance claims knowledge

Communication skills

Education

High School Diploma/GED

Bachelor’s degree in related field

Tools

MS Office

Job description

UnitedHealth Group seeks a Provider Relations Advocate to support providers across Texas in a remote-capable role, focusing on end-to-end provider claims, portal improvements, and network development. Travel up to 75% within the market is required.

The role emphasizes strong customer service, knowledge of Medicare/Medicaid regulations, and collaboration with payers, providers, and practice managers to enhance care delivery.