Dental Sr Provider Advocate – Remote in New York, NY

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 Dental 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 4 leader.  

 

The Dental Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including being the face of UnitedHealthcare (UHC), Solstice and Healthplex Dental in the field with our providers and the liaison for provider contracting questions, claim and call quality, ease of use of provider web portal, future service enhancements and training & development of provider education programs. The role may be involved in identifying and remediating operation short-falls and researching and resolving complex claims and claims issues. The role also ensures the network composition includes an appropriate distribution of provider specialties, including recruitment and contracting as needed.  This role may involve Commercial, Medicare and Medicaid programs.  

 

This position will cover an assigned territory within NY. The individual selected should live within NY.  May consider candidates that are proximal to NY to allow for provider visitation. 

 

In addition the role will be:

• FQHC relationship owner
• Provider relationship manager
• Targeted Provider recruitment
• Provider education
• Provider at risk escalation resource
• Member escalation contact
• Network adequacy manager
• Special project manager
• Market expert

 

If you are located in NY, you will have the flexibility to work remotely* as you take on some tough challenges.

 

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 Qualification: 

• Basic level of proficiency with MS Excel

 

Preferred Qualifications:  

• 1+ years of experience in a network management related role, such as contracting, provider relations or provider services and/or experience working in a dental office  
• 1+ years of experience with Medicaid and Medicare reimbursement methodology (ie. APG, PPS, FFS, Capitation) 
• Provider contracting experience
• Knowledge of reimbursement methodologies
• Knowledge of Dental products/providers
• Knowledge of claim processing systems and guidelines
• Proven excellent verbal and written communication skills
• Proven excellent time management skills 
• Proven solid interpersonal skills, ability to establish rapport and work well with others
• Proven solid customer service skills
• Reliable transportation 
• Reside in service area as noted above 

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.   

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug free workplace. Candidates are required to pass a drug test before beginning employment.