Field Based Provider Relations Advocate – West TN Region

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. 

Position in this function is responsible for 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.

This is a field-based opportunity with expected travel in Shelby County and surrounding counties (Tipton, Lauderdale, Dyer)

 

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.

Required Qualifications:

• High school diploma
• 2+ years of work experience (preferably in health care)
• Claims experience
• 2+ years of experience in Provider Relations and/or Contracting
• Intermediate level skills with MS Office Products including Excel, Word, and PowerPoint
• Ability to travel in state (up to 75%) for provider visits

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

 

Soft Skills:

• Solid analytical skills
• Excellent written and verbal communication and presentation skills
• Ability to balance multiple high priority projects and meet quick deadlines

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.