Sr. Provider Relations Advocate - Long Island, NY or NYC - Full-time / Part-time

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:


Travel to Provider locations in Long Island and/or downstate NY to achieve above goals

Assess and interpret customer needs and requirements

Identify solutions to non - standard requests and problems

Work independently

Provide explanations and information to others on difficult issues

Act as a resource for others with less experience
NOTE: Frequent on - site visits and meetings with physician groups or hospital systems. Large complexity, high volume, high spend provider groups or specialties

Required Qualifications:


3+ 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

1+ years developing and delivering presentations

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


Previous experience with providers in the territory

Ability to form strong, trusting relationships with providers

Demonstrated ability to communicate effectively verbally and in writing

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

Undergraduate or higher level degree
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: Sr. Provider Relations Advocate, Provider Relations Consultant, Provider Liaison, Claim Resolution Expert, New York City, Long Island, NY, New York