Senior Provider Relations Advocate Medica

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Schedule: Monday-Friday 8am-5pm

Primary Responsibilities:

• The Dedicated Client Advocate will be responsible for providing education and training for this dedicated provider network. This position will provide ongoing training, education and relationship building for all providers in states where the Client has membership
• This position will require additional provider education along with the high touch high service model that is contractually required for this dedicated provider network
• The Client is a high touch, high service client that requires expedited resolution to service issues
• Responsibilities also include assuring network adequacy, and access standards are met for the new Client membership and develop and executes recruitment plans, where applicable, and coordinating with dedicated contracting team

What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

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 experience in a related medical field or health plan setting (network management, contracting and/or recruitment, or provider relations)
• Experience interfacing effectively internally with all levels of staff and externally with a wide range of people such as physicians, office staff, hospital executives, medical groups, IPA's, and community organizations with the ability to communicate and facilitate strategic meetings with groups of all sizes
• Working knowledge of Medicaid, Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage
• Knowledge of state and federal laws relating to Medicare
• Proficiency in Microsoft Word, Excel, and PowerPoint
• Ability and willingness to travel, both locally and non-locally, as determined by business need
• Access to reliable transportation and valid US driver's license

Preferred Qualifications: 

• Healthcare management experience
• Proven solid business acumen, analytical, critical thinking, and persuasion skills
• Proven ability to function as a mentor to others
• Proven ability to develop long-term positive working relationships
• Proven ability to work independently, use good judgment and decision-making process
• Proven ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals

*All Telecommuters 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 $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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