Dental Provider Relations Advocate – Medicaid

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 Provider Relations Advocate 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 6 leader. 

 

Are you ready for a challenge? You’ll be part of a performance driven, fast paced organization that is serving multiple markets and you’ll be charged with educating and building relationships with providers to evolve ongoing processes and programs. 

 

Primary Responsibilities:

• Contribute to design and implementation of programs that build/nurture positive relationships between the dental plan, providers and practice managers
• Assist in efforts to enhance ease of use of provider portal and future services enhancements
• Claims research/resolution
• Support development and management of provider networks via 75% telephone interaction
• 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
• Telephonic Provider Education
• Front Line support to help resolve provider issues
• Oversees provider TIN demographic changes
• Assists with recovery of incomplete provider documentation
• Assist with administrative tasks and provider tickets
• Claim Escalation assistance
• Assists with member placement and escalations
• Associate Dental Provider Adds
• Prioritize and organize own work to meet deadlines
• Act as the liaison between the provider, client and members
• Handling high level escalations
• Be able to manage workload autonomously and meet goals and deadlines
• Management of Dental Service Organizations (DSO) & large groups

 

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:

• 3+ years of health care and/or dental experience and/or 2+ years of provider relations and/or provider network experience
• Demonstrated intermediate level of proficiency research and resolution of provider issues
• Intermediate level of Proficiency with Outlook, MS Word and Excel
• Ability to prospect new and existing provider leads
• 25% travel throughout the state of New Mexico and border states

 

Preferred Qualifications: 

• Exceptional sales presentation skills in a high-pressure environment
• Medicaid knowledge
• Dental industry knowledge
• Dental Treatment Plan Coordinator/Dental Office Manager experience
• Knowledge of PPO and Medicare/Medicaid products
• Sales / Call environment experience
• Salesforce experience
• MS PowerPoint experience
• Knowledge of claims processing systems and guidelines

 

Soft Skills:

• Solid written and oral communication and ability to interact with Senior Leadership
• Issue resolution and problem-solving skills

  

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.