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Senior Provider Relations Advocate - Leesburg, FL; The Villages; Lake, Marion and Sumter Counties

UnitedHealth Group

Winter Park, FL
Job Code:
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Job Details

Senior Provider Relations Advocate - Leesburg, FL; The Villages; Lake, Marion and Sumter Counties(Job Number:698184)

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 Sr. Provider Relations Advocate will interface with operational and clinical leadership to assist in identification of operational best practices, and collaborate with clinical resources to assist in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical documentation and quality coding. He/She will arrange for implementation of programs designed to ensure all diagnoses are coded according to CMS and risk adjustment coding guidelines and conditions are properly supported by appropriate documentation in the patient chart. The Physician Business Manager will also ensure the providers understand CMS HEDIS requirements. This position will function in a matrix organization taking direction about job function from WellMed leadership but reporting directly to the Market Director.


Primary Responsibilities:

  • Assess and interpret customer needs and requirements

  • Identify solutions to non-standard requests and problems

  • Solve moderately complex problems and/or conduct moderately complex analyses

  • Work with minimal guidance; seek guidance on only the most complex tasks

  • Translate concepts into practice

  • Provide explanations and information to others on difficult issues

  • Coach, provide feedback, and guide others

  • Act as a resource for others with less experience



Job Provider Relations and Service
Primary Location US-FL-Winter Park
Other Location US-FL-Leesburg, US-Florida, US-FL-Ocala, US-FL-Orlando
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 1
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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