Healthcare Manager of Provider Relations and Service Advocacy - Englewood, CO

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)

The Manager of Provider Relations Service & Advocacy is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Managers of Provider Relations Service & Advocacy design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Responsibilities also include directing and implementing strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

Primary Responsibilities:

• Set team direction, resolve problems and provide guidance to members of own team


• May oversee work activities of other supervisors


• Adapt departmental plans and priorities to address business and operational challenges


• Influence or provide input to forecasting and planning activities


• Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)

Required Qualifications:

• Undergraduate degree or equivalent experience.


• 5+ years of provider relations and/or network management experience


• 3+ years of management experience


• Expert level of knowledge of claims/systems processes, contracting and reimbursement methodologies


• 5+ years of experience with Medicare and Medicaid regulations


• Exceptional presentation, written and verbal communication skills


• 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


• Critical thinking skills and be able to easily identify solutioning for business risks and opportunities


• Expert level of proficiency with MS Word, Excel, and Access

UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 14, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

Diversity creates a healthier atmosphere: 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.