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Healthcare Provider Relations Advocate - CA Telecommute

UnitedHealth Group


Location:
Los Angeles, CA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1788246
Apply on the Company Site
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Job Details


Healthcare Provider Relations Advocate - CA Telecommute(Job Number:730910)
Description

Position Description:

Energize your career with one of Healthcare’s fastest growing companies.  

 

You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.

 

This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.

 

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.


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.

The Healthcare 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 services and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs via face to face visits, video and teleconferencing connectivity. 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, review provider contract language, negotiate rates and active involvement in identifying and remediating operational short-falls and researching and remediating claims. This position supports a behavioral health provider network.

Positions in this function are accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider service and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. 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
  • Consistently identify areas for process improvement that streamline processes
  • Act as the main liaison between the provider network and the health plan in several markets within California
  • Build and foster relationships that align partnerships and produce successful results
  • Analyzes and investigates
  • Provides explanations and interpretations within area of expertise

Job Provider Relations and Service
Primary Location US-CA-Los Angeles
Other Location US-CA-Sacramento, US-CA-Woodland Hills
Organization Optum Behav Hlth Public Sector
Schedule Full-time
Number of Openings 2
Apply on the Company Site

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.

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