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Hours Full-time, Part-time
Location Austin, TX
Austin, Texas

About this job

Position Description:

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 Provider Relations
Advocate 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.  Provider Relations Advocates 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:





  • Use pertinent data and facts to identify and solve a
    range of problems within area of expertise.
  • Investigate non-standard requests and problems,
    with some assistance from others.
  • Work exclusively within a specific knowledge area
    .
  • Prioritize and organize own work to meet
    deadlines.
  • Provide explanations and information to others on
    topics within area of expertise.


Requirements



Required
Qualifications:





  • Bachelors Degree.
  • 2+ years of Provider Relations and/or Provider Network experience.
  • 2+ years experience in Claims processing
    and issue resolution.
  • 2+ years experience with Medicare and Medicaid
    regulations/claim processing and issue resolution.
  • Presentation, written and verbal
    communication skills.
  • Ability to work independently and remain on task.
  • Ability to prioritize and meet deadlines from
    multi-staff members within the department.
  • 2+ years experience with Microsoft Word,
    Excel, PowerPoint.


Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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, 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.