Senior Provider Relations Advocate - Hybrid- New Jersey

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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Senior Provider Relations Advocate is tasked with managing and nurturing relationships between the healthcare organization and its network of providers. This role is crucial for ensuring providers are informed, engaged, and satisfied with their interactions with the organization, ultimately impacting the quality of care delivered to patients. The Senion Provider Relations Advocate is essential for maintaining a positive and productive relationship between healthcare providers and the organization. This role requires a strategic thinker with deep knowledge of the healthcare industry, and the ability to maintain solid professional relationships. Effective performance in this role significantly impacts the quality of care and operational efficiency of the healthcare network.

If you are located within East Brunswick New Jersey, you will have the flexibility to work from home, field (30% of the time), and the office (3 days per week in the office) in this hybrid role* as you take on some tough challenges.

Primary Responsibilities:

• Communication and Support:
  • Serve as the primary liaison between the organization and healthcare providers
  • Organize and lead regular meetings with staff and providers to discuss updates, gather feedback, and address concerns
  • Ensure providers have access to the necessary tools and resources to effectively manage their practices within the network
• Issue Resolution:
  • Promptly address and resolve provider issues and disputes, including claims disputes, reimbursement concerns, and contractual matters
  • Implement effective mechanisms for provider feedback and issue resolution to prevent future problems
  • Address and resolve complex issues and disputes between providers and the organization
• Compliance and Reporting:
  • Ensure all provider interactions comply with healthcare regulations, contractual agreements, and organizational policies
  • Monitor and report on key performance indicators related to provider satisfaction, network utilization, and team productivity
  • Prepare comprehensive reports and presentations for senior management
• Strategic Initiatives:
  • Collaborate with other departments (such as claims, compliance, and customer service) to align provider relations strategies with overall business objectives
  • Identify and implement improvements in provider communication, processes, and technologies to enhance overall efficiency and satisfaction
• Additional Responsibilities
  • Role will support all provider types, as necessary

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:

• 5+ years of experience in provider relations or network management within a healthcare setting
• In-depth understanding of healthcare systems, provider operations, and relevant regulations (e.g., HIPAA, ACA)
• Intermediate level of proficiency with MS Word, Excel, and PowerPoint 
• Proven excellent communication, negotiation, and interpersonal skills

Work Environment and Physical Demands:

• Ability to work a Hybrid position including office, remote, and travel up to 30% of the time based on business needs
• Frequent meetings, both in-office and at provider locations
• Standard office hours with occasional extended hours to meet project deadlines or resolve urgent issues

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 $72,800 to $130,000 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.