Field Based Provider Relations Advocate

Company: UnitedHealthcare
Location: Knoxville
Posted on: November 2, 2024

Job Description:

This is a field based opportunity with expected travel in Knoxville and surrounding areas.At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Provider Service Representative is responsible for assisting in 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 and development of external provider education programs. Provider Service Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.
Position in this function is responsible for supporting those who direct and implement strategies relating to the development and management of a provider network, identify 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.
If you live in the state of TN, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:

• Training and on-going education of providers on policies and procedures
• On-site assessments to ensure that providers are compliant with contractual terms
• Trouble shooting provider concerns internally with the expectation of timely resolution of issues
• Traveling to provider offices quarterly to build relationships, up to 75% travel within specific region in Tennessee
• Presentations to train providers on new requirements, or reiterate existing requirements
• Documenting outreach, as applicable
  You'll 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.Required Qualifications:
  • High school diploma
  • 2+ years of work experience (preferably in health care)
  • 2+ years of experience in Provider Relations and/or Contracting
  • Intermediate level skills with MS Office Products including Excel, Word, and Powerpoint
  • Ability to travel in state (up to 75%) for provider visits
    Preferred Qualifications:
    • Experience working in the healthcare industry, in a role where provider interaction was involved
    • Experience and knowledge with Medicaid
    • Experience and knowledge with Long-Term Services and Supports providers Soft Skills:
      • Solid analytical skills
      • Excellent written and verbal communication and presentation skills
      • Ability to balance multiple high priority projects and meet quick deadlines
        *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
        At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.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.By applying, you consent to your information being transmitted by GenZJobs to the Employer, as data controller, through the Employer's data processor SonicJobs.
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Keywords: UnitedHealthcare, Kingsport , Field Based Provider Relations Advocate, Other , Knoxville, Tennessee