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Senior Provider Relations Advocate - Telecommute within Sacramento, CA

UnitedHealth Group


Location:
Sacramento, CA
Date:
02/20/2018
2018-02-202018-03-21
Job Code:
747294
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Job Details

747294 Senior Provider Relations Advocate Telecommute within Sacramento CA

Senior Provider Relations Advocate - Telecommute within Sacramento, CA (747294)

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 Physician 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.

 

The Senior 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. 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.

 

Positions in this function are accountable for the full range of provider relations and service interactions within UHG, 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. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.

 

You’ll enjoy the flexibility to telecommute* from anywhere within the Northern California area as you take on some tough challenges.

 

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

  • Generally work is self-directed and not prescribed

  • Work with less structured, more complex issues

  • Serve as a resource to others

  • Travel as necessary to build Provider relationships with our Medical Groups

  • Designs and implements programs to build and nurture positive relationships between the health plan, providers and practice managers

     

Required Qualifications:

  • Undergraduate degree or equivalent experience

  • 3+ years of provider relations and/or provider network experience (ancillary and/or hospital)

  • Intermediate level of proficiency in claims processing and issue resolution

  • Intermediate level experience with MS Word and Excel

  • Exceptional presentation, written and verbal communication skills

  • Reside in Sacramento Bay Area and ability to travel regionally about 25%

Preferred Qualifications:

  • Experience with Medicare  regulations

  • Experience with MS PowerPoint and Access

  • Ability to work independently and remain on task

  • Good organization and planning skills

  • Ability to prioritize and meet deadlines from multiple staff members within the department

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)

 

*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, provider advocacy, claims resolution, Medi - Cal, Medicaid, issue resolution, physician advocate, Northern California, Sacramento, CA, Rancho Cordova, CA, Davis, CA, Elk Grove, CA California

 

Job Details

  • Contest Number747294
  • Job TitleSenior Provider Relations Advocate - Telecommute within Sacramento, CA
  • Job FamilyNetwork Management
  • Business SegmentUnitedHealthcare Networks

Job Location Information

  • Sacramento, CA
    United States
    North America
  • Other LocationsRANCHO CORDOVA, CA
    Davis, CA
    Elk Grove-California, CA

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 50 % 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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