Long Term Care Provider Relations Advocate

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 with skilled nursing facilities. Provider Relations Advocates design and implement programs to build and nurture positive relationships between the health plan, providers , 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

Required Qualifications:

Familiarity with long term care facilities
Undergraduate degree or equivalent combination of education and relevant long term care experience
2+ years of provider relations and / or provider network experience
Proficiency in claims processing and issue resolution
1+ years experience with managed Medicare and Medicaid
Exceptional presentation, written and verbal communication skills
Ability & willingness to travel approximately 75% within the State of Georgia
Ability to prioritize and meet deadlines from multi-staff members within the department
Proficiency with  Word, Excel, PowerPoint, SharePoint, crm software
 
 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.
 
 
Job Keywords: provider, relations, advocate, network, claims, long term care, skilled nursing facility, SNF, Norcross, GA, Georgia