Provider Relations Advocate - Southern California 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 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 and ancillary), and practice managers with a focus on training and education. 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. This opportunity is a Calfornia telecommute based position and will focus on the San Diego market.

Primary Responsibilities:

• Manage and support Advocate initiatives to achieve measurable improvements in the provider service experience for the market
• Support Provider issue resolution with internal teams and follow up with providers to close the loop of issues
• Provide training and education to physician and ancillary providers across all  lines of business
• Use pertinent data and facts to identify and solve a range of problems within are of expertise
• Investigate non-standard requests and problems with some assistance form others
• Prioritize and organize own work to meet deadlines
• Travel for face to face visits with providers within the San Diego market

Required Qualifications:

• Undergraduate degree or equivalent combination of education and relevant experience

• 3+ years of provider relations and/or provider network experience.

• Experience with claims processing and issue resolution

• 1+ years of experience with Medicare and Medicaid regulations

• Experience creating and delivering presentations

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

Preferred Qualifications:

• Bachelor’s Degree

• Experience with Access, NDB, Nice, Pulse, Iset, Unet, Cosmos, Impact, and/or IBAAG

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.

Job Keywords: provider relations, southern California, work from home, telecommuter, telecommuting, telecommute, remote, physician advocate, ancillary, FSS, Secondary: San Diego, CA, Riverside, CA, San Bernardino, CA, Cypress, CA, California