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Senior Provider Relations Advocate- Telecommute within New Mexico

UnitedHealth Group


Location:
Albuquerque, NM
Date:
12/15/2017
2017-12-152018-01-14
Job Code:
738553
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Job Details

738553 Senior Provider Relations Advocate Telecommute within New Mexico

Senior Provider Relations Advocate- Telecommute within New Mexico (738553)

Position Description

There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. 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
  • Coach, provide feedback and guide others

  • 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

  • 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

In this role, you'll be part of a performance driven, fast paced organization that is serving multiple markets. You'll have frequent interactions with senior management and physicians as you communicate about ways to evolve ongoing processes and programs.

 

Physician Advocate for New Mexico Market. Full Time, Telecommute considered if located in the state of New Mexico.

 

 
 

 

Required Qualifications

  • Bachelor’s Degree or equivalent work experience
  • 3+ years of health care/managed care experience

  • 3+ years of provider relations and/or provider network experience

  • Intermediate level of proficiency in claims processing and issue resolution

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

  • Exceptional presentation skills
  • Must live within commutable distance of the location listed for this specific career opportunity

Preferred Qualifications:

  • Live within the vicinity of Southern New Mexico
  • Experience with Medicare and Medicaid regulations

  • MS OneNote
  • Experience with NDB, ISET and Facets

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

 

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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.

 

Keywords: Advocate, Provider Relations, NDB, Facets, ISET, New Mexico, Albuquerque, NM, Telecommute

 

Job Details

  • Contest Number738553
  • Job TitleSenior Provider Relations Advocate- Telecommute within New Mexico
  • Job FamilyNetwork Management
  • Business SegmentUnitedHealthcare Networks

Job Location Information

  • Albuquerque, NM
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % 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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