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in Des Moines, IA
Provider Relations Advocate - Iowa Telecommute - Full-time / Part-time
Hours | Full-time, Part-time |
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Location | Des Moines, IA Des Moines, Iowa |
About this job
Position Description:
Expanding access to affordable, high quality Healthcare starts here. This is where some of the most innovative ideas in healthcare 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)
Positions in this function are accountable for the full range of provider relations and service interactions within UHG, 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. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.
Requirements
- Bachelor's Degree OR a High School Diploma/GED plus 4+ years of experience with Provider Relations and/or Provider Network.
- Able to travel up to 25-50% of the time locally.
- 2+ years of experience with Provider Relations and/or Provider Network.
- Experience with in Claims processing and issue resolution.
- Experience with Microsoft Word, Excel, PowerPoint, and Access.
- Knowledge of the Iowa provider community.
- Experience with Medicare and Medicaid regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.