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Senior Provider Relations Advocate - Telecommute - Northern Virginia (Fairfax)

UnitedHealth Group


Location:
Fairfax, VA
Date:
03/24/2017
Job Code:
1720837
Apply on the Company Site
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Job Details


Senior Provider Relations Advocate - Telecommute - Northern Virginia (Fairfax)(Job Number:702380)
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 Senior Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group. In this role, you will present information to large and small groups while also managing additional projects. You will work on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements along with training & development of external provider education programs (including telephonic and field based interactions).   Senior Provider Relations Advocates coordinate completion of provider attestations to ensure all provider demographics, including product participation are properly represented in My Practice Profile and all UHC internal systems.  Responsibilities also include educating providers on UHC products and their participation status within those products to ensure attestations are completed with 100% accuracy, training providers on the technology used to increase adoption and ease of use of physician portal and future service enhancements, and identifying for submission  provider demographic changes for end to end resolution.  Senior 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 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
  • 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
  • May be required to travel within assigned markets (field visits to provider locations)
  • Will need to be located in Northern VA as this role will have a heavy emphasis on Fairfax County.

Job Provider Relations and Service
Primary Location US-VA-Fairfax
Other Location 
Organization UHN Northeast
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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