5 days old

PMO Hybrid Provider Advocate - Remote - 938692

Albany, NY 12207 Work Remotely
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  • Job Code
    938692

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 doyour life's best work.(sm)

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As the PMO Hybrid Provider Advocate, you will be 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. As the Provider Relations Advocate you will design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Your responsibilities will 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 of staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. In this role you will serve as the primary contact point and face of UHC to the provider and play a significant role in creating and maintaining trusting and sustainable relationships with our providers to better serve the health needs of our members and their patients.

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You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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Primary Responsibilities:

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  • Support Advocate initiatives to achieve measurable improvements in the provider service experience for the market
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  • Support Provider issue resolution with internal teams and follow up with providers to close the loop of issues
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  • Present regional and market level performance reports to management on project updates, project cycle, and expected results
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  • Assess and interpret customer needs and requirements
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  • Identify opportunities for process improvements for the assigned market and communicates effectively with associates and manager
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  • Support the education and support of providers across all lines of business
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  • Monitor industry trends and resources and defines opportunities to enhance provider service offerings
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  • Attend provider expos, events and seeks out opportunities to hold provider lunch and learn events
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  • Coordinate extensively with internal leads to provide to gain a full understanding of assigned core account portfolio and challenges
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  • Work closely with other market advocates and leaders to seek opportunities to further enhance the providers experience with United HealthCare
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  • Demonstrate an expert understanding of claims processes and can work through problems to find a solution
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  • Understand how a providers office operates and understands their challenges
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  • Develop an intimate knowledge of the Providers practice / Hospital team
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  • Take time to understand the challenges faced by the Provider specific to administration simplification, Healthcare Reform, etc.
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  • Bring the voice of the provider to help shape outreaches being undertaken by UHG
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  • Understand the changing healthcare landscape
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  • Demonstrates the ability to use data analytics to solve problems
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  • Build relationships with providers and internal contacts
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Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Required Qualifications:

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  • Undergraduate degree or equivalent combination of education and relevant experience
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  • 2+ years of experience working with physicians, hospitals, health systems, or managed care
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  • 1+ years of experience in a client facing / customer service role
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  • Intermediate level of proficiency with Microsoft Word and Excel
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  • Experience creating and delivering presentations
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Preferred Qualifications:

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  • Proficiency with Microsoft PowerPoint
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  • 2+ years of experience within claims processing and issue resolution
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  • Understands all of the product lines and platforms associated with their portfolio of providers
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Careers with UnitedHealthcare.Let's talk about opportunity. Start with a Fortune 5organization 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 doyour life's best work.(sm)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Colorado Residents Only: The salaryrange for Colorado residents is $53,300to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Provider, Relations, Advocate, claims, Buffalo, Syracuse, Rochester, NY, New York, work from home, work at home, WFH, WAH, #RPO

Posted: 2021-07-21 Expires: 2021-08-20

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Sponsored by:
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PMO Hybrid Provider Advocate - Remote - 938692

UnitedHealth Group
Albany, NY 12207

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