Provider Relations Advocate - El Paso, TX

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
 
 

Required Qualifications:


2+ years of provider network experience such as provider relations, contracting, credentialing, etc.

Intermediate level of proficiency in claims processing and issue resolution

1+ year experience with Medicare and Medicaid regulations as well as Medicare Advantage plans

Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access

Must have access to reliable transportation and ability to travel up to 50% within El Paso County

Flexibility to working outside regular business hours (evenings / weekends) as needs require

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
Preferred Qualifications:


Undergraduate degree

Bilingual proficiency in Spanish / English

Knowledge of WellMed mission and model of care 
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to 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: health care, healthcare, provider, physician, provider relations, provider network, contracting, credentialing, claims, Medicare, Medicaid, bilingual, Spanish, El Paso, TX, Texas
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