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Provider Relations Advocate, Skilled Nursing Facilities - Field Based in Western PA

UnitedHealth Group


Location:
Pittsburgh, PA
Date:
02/20/2018
2018-02-202018-03-21
Job Code:
745157
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Job Details

745157 Provider Relations Advocate Skilled Nursing Facilities Field Based in Western PA

Provider Relations Advocate, Skilled Nursing Facilities - Field Based in Western PA (745157)

Position Description

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 6 leader.


 

Primary Responsibilities:

  • Assist in end - to - end provider claims and help enhance call quality
  • Assist in efforts to enhance ease of use of physician portal and future services enhancements

  • Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers

  • Support development and management of provider networks

  • Help implement training and development of external providers through education programs

  • Identify gaps in network composition and services to assist network contracting and development teams

If you are located inWestern PA, you will have the flexibility to telecommute* as you take on some tough challenges.


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.

Required Qualifications:

  • High school diploma
  • 4+ years of health care / managed care experience
  • 2+ years of provider relations and / or provider network experience

  • Intermediate level of proficiency in claims processing and issue resolution

  • 1+ years of experience with Medicare and Medicaid regulations

  • Proficiency with MS Word, Excel, PowerPoint, Outlook

  • Must live on Western side of PA
  • Ability to travel regionally up to 75%, minimal overnights
 Preferred Qualifications:
  • Undergraduate degree
  • Exceptional presentation, written and verbal communication skills
  • Ability to work independently and remain on task
  • Good organization and planning skills
  • Ability to prioritize and meet deadlines from multi-staff members within the department

  • Experience with SNF billing or coding procedures
The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life's best work.(sm)
 
UnitedHealth Group is working to create the health care system of tomorrow.
 
Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.
 

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

 

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

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, network, claims resolution, training, liaison, SNF, skilled nursing facility, Pittsburgh, PA, Western PA, Telecommuter, telecommute, Work from home

 

Job Details

  • Contest Number745157
  • Job TitleProvider Relations Advocate, Skilled Nursing Facilities - Field Based in Western PA
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • Pittsburgh, PA
    United States
    North America
  • Other LocationsErie, PA
    New Castle, PA

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionYes
  • 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.

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