Remote Provider Relations Advocate — TX

UnitedHealth Group

McAllen (TX)

Remote

USD 60,000 - 107,000

Full time

4 days ago

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Benefits offered by this job

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

Job summary

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.

Qualifications

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%.

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.