Sign In
 [New User? Sign Up]
Mobile Version

Provider Relations Advocate - McAllen, TX

UnitedHealth Group


Location:
McAllen, TX
Date:
01/18/2018
2018-01-182018-02-16
Job Code:
742007
Apply on the Company Site
  •  
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

742007 Provider Relations Advocate McAllen TX

Provider Relations Advocate - McAllen, TX (742007)

Position Description

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 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 claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. 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 nonstandard 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

  • Must be able to travel within the local RGV area

Required Qualifications:

  • Undergraduate degree or related work experience
  • 1+ years of provider relations and/or provider network experience

  • Intermediate level of proficiency with MS Word, Excel, PowerPoint

Preferred Qualifications:

  • 1+ years of management experience
  • At least an intermediate proficiency in claims processing and issue resolution

  • Fluent in Spanish

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to 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: Provider Relations Advocate, provider relations, provider network, claims processing, , McAllen, TX, Texas

 

 

Job Details

  • Contest Number742007
  • Job TitleProvider Relations Advocate - McAllen, TX
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • McAllen, TX
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 50 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusExempt

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.

Powered ByLogo

Featured Jobs[ View All ]

Featured Employers [ View All ]