Senior Provider Relations Advocate - USA Telecommute

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 Senior 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. Senior 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:


Assess and interpret customer needs and requirements

Identify solutions to non - standard requests and problems

Solve moderately complex problems and/or conduct moderately complex analyses

Work with minimal guidance; seek guidance on only the most complex tasks

Translate concepts into practice

Provide explanations and information to others on difficult issues

Coach, provide feedback, and guide others

Act as a resource for others with less experience

Provider Advocate will be required to travel to assigned physician groups within territory

Required Qualifications:


Undergraduate degree or equivalent

2+ years of provider relations and/or provider network experience

Intermediate level of proficiency in claims processing and issue resolution

2+ years experience with Medicare and Medicaid regulations

Healthcare experience

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

Intermediate level of proficiency with MS Word, Excel and PowerPoint
 Preferred Qualifications:


Working knowledge of Physician Contracting
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and 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.


Keywords: Provider Relations, Provider Network, Physician Contracting, claims processing, issue resolution, Medicare / Medicaid, healthcare, MS Office, Telecommute, Telecommuter, Work from home, remote, United States, Raleigh, Morrisville, NC, North Carolina
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