29 days old

Provider Relations Advocate - Community and State - San Diego, CA (telecommute) - 915660

San Diego, CA 92101 Work Remotely
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  • Job Code
    915660

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 7 leader.

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If you are located in the San Diego, California area, you will have the flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Assist in end-to-end provider claims and help enhance call quality
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  • Assist in efforts to enhance ease of use of physician portal and future services enhancements
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  • Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
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  • Support development and management of provider networks
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  • Help implement training and development of external providers through education programs
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  • Identify gaps in network composition and services to assist network contracting and development teams
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  • Will require 50%+ travel for field work, when Covid restrictions are lifted
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Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.

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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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  • High school diploma or equivalent work experience
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  • 4+ years of health care/managed care experience
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  • 2+ years of provider relations and/or provider network experience
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  • 1+ years of experience with Medicare and (MediCal) Medicaid regulations
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  • Intermediate level of proficiency in claims processing and issue resolution
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  • Proficiency with MS Word, Excel, PowerPoint and Access
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained
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Preferred Qualifications:

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  • Undergraduate degree
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  • Claims experience
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  • Enjoyworking in an ever changing, multi-task environment that is ambiguous and never ending
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Careers with UnitedHealthcare.Let's talk about opportunity. Start with a Fortune 7 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 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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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: Healthcare Provider Relations Advocate, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Provider Network, Network Development, Provider Services, Provider Education, Provider Relations, Cypress, CA, California, Travel, Telecommute, Telecommuter, Telecommuting, UHG, UnitedHealth Group, UHC, UnitedHealthcare

Posted: 2021-03-24 Expires: 2021-05-22

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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Provider Relations Advocate - Community and State - San Diego, CA (telecommute) - 915660

UnitedHealth Group
San Diego, CA 92101

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