Senior Provider Relations Advocate - Albuquerque

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

As a Senior Provider Relations Advocate, you will be responsible for the full range of provider relations and service interactions between UnitedHealth Group and assigned providers. Your duties include problem resolution, including claim issues, and  provider education. You will also design and implement programs to build and nurture positive relationships between the health plan and providers (physician, hospital, ancillary, etc.), and practice managers. Responsibilities also include working with network development to ensure adequate network composition and services. This role is part of the Community and State business segment, and so is also responsible for working with New Mexico State Medicaid to answer questions, provide service and respond to action requests.

In this role you will be expected to:
- Assess and interpret customer needs and requirements.
- Identify solutions to non-standard requests and problems.
- Work with minimal guidance; seek guidance on only the most complex tasks.
- Provide explanations and information to others on difficult issues.
- Act as a resource for others with less experience.

Requirements:

- 3+ years of provider relations and/or provider network experience

- 3+ years experience with Medicare and Medicaid regulations

- Intermediate level of proficiency with MS Excel

Assets:

- Experience with Medicaid program for New Mexico
- Intermediate level of proficiency in claims issue resolution
- Exceptional presentation, written and verbal communication skills

- Experience with writing correspondence to internal and external audiences
- Ability to work independently and remain on task
- Good organization and planning skills
- Ability to prioritize and meet deadlines from multi-staff members within the department.

- Undergraduate or higher level degree

 Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.