Senior Provider Relations Advocate - Telecommute - Northern Virginia (Fairfax)

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. In this role, you will present information to large and small groups while also managing additional projects. You will work on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements along with training & development of external provider education programs (including telephonic and field based interactions).   Senior Provider Relations Advocates coordinate completion of provider attestations to ensure all provider demographics, including product participation are properly represented in My Practice Profile and all UHC internal systems.  Responsibilities also include educating providers on UHC products and their participation status within those products to ensure attestations are completed with 100% accuracy, training providers on the technology used to increase adoption and ease of use of physician portal and future service enhancements, and identifying for submission  provider demographic changes for end to end resolution.  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:

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
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
May be required to travel within assigned markets (field visits to provider locations)
Will need to be located in Northern VA as this role will have a heavy emphasis on Fairfax County.

 
Required Qualifications:

3+ years of experience with provider contracting/provider relations/provider network/provider data
3+ years of experience in the health care industry
Intermediate (or better) level of proficiency with MS Word and MS Excel (including use of filters, removing duplicates, converting text to columns, and basic formulas, etc.)
Intermediate level of proficiency in claims processing and issue resolution
Exceptional presentation, written and verbal communication skills with experience presenting in both large and small settings
High attention to details
Ability to work independently and remain on task
Good organization and territory planning skills
Strong interpersonal skills, establishing rapport and working well with others
Ability to prioritize and meet deadlines from multi-staff members within the department
Field based travel may be necessary up to 50% of the time
Preferred Qualifications:

Bachelor’s Degree
Intermediate level of proficiency with MS PowerPoint and MS Access
1+ years of experience with Medicare and Medicaid regulations
Process/Project Management Skills
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: Senior Provider Relations Advocate, Telecommute, Virginia, VA