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Sr. Provider Relations Advocate - Multiple Locations

UnitedHealth Group


Location:
Iselin, NJ
Date:
04/19/2018
2018-04-192018-05-18
Job Code:
761003
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Job Details

761003 Sr Provider Relations Advocate Multiple Locations

Sr. Provider Relations Advocate - Multiple Locations (761003)

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.
Required Qualifications:
  • Bachelor’s Degree
  • 5+ years of health care/managed care experience
  • 2 or more years of provider relations and/or provider network experience
  • Intermediate level of proficiency in claims processing and issue resolution
  • 1+ year of experience with Medicare and Medicaid regulations
  • Proficiency with MS Word, Excel, PowerPoint and Access

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)

 

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 Details

  • Contest Number761003
  • Job TitleSr. Provider Relations Advocate - Multiple Locations
  • Job FamilyNetwork Management
  • Business SegmentUnitedHealthcare Networks

Job Location Information

  • Iselin, NJ
    United States
    North America
  • Other LocationsEdison, NJ
    New Brunswick, NJ
    Hackensack, NJ
    Middletown, NJ

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • 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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