Provider Relations Advocate – Remote in Travis County and Surrounding Areas
(Remote considered)
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 more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This TX Provider Relations Advocate (Long-Term Services & Support LTSS) 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 solid 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 5 leader.
If you reside in the state of Texas, you’ll enjoy the flexibility to work remotely* 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
- 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
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:
- 2+ years of provider relations and/or provider network experience
- 2+ years of health care/managed care experience
- 2+ years of customer service experience
- 2+ years of experience in claims processing and issue resolution
- 1+ years of experience with Medicare or Medicaid regulations
- Proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
- Travel up to 75% of time within Travis Williamson Bastrop and surrounding areas
- Valid driver’s license and good driving history
- Insured, reliable transportation that will enable travel within this designated area
- Live in within commutable distance from Travis Williamson Bastrop and surrounding areas
Preferred Qualifications:
- Conflict resolution experience
- CMS proficiency
*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 al 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.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
Información adicional sobre la vacante
Número de la requisición 2268155
Segmento de negocio UnitedHealthcare
Nivel del cargo Individual Contributor
Disponibilidad para viajar Yes, 75 % of the Time
Ubicaciónes adicionales de la vacante
Bastrop, TX, US
Estado de horas extras Exempt
Vacante de teletrabajo Yes