Provider Relations Advocate - Field Based in Indiana

Company: UnitedHealth Group
Location: Muncie
Posted on: September 13, 2023

Job Description:

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) -
The Provider Relations Advocate is responsible for assisting in 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 and development of external provider education programs. Provider Service Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify 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.Expect to spend about 75% of your time in the field working hands-on with providers, within an assigned Indiana territory. The remainder of work will be home-office based.Primary Responsibilities: -

• Training and on-going education of providers on policies and procedures
• On-site assessments to ensure that providers are compliant with contractual terms
• Trouble shooting provider concerns internally with the expectation of timely resolution of issues
• Traveling to provider offices quarterly to build relationships, up to 75% travel within specific region in Indiana
• Presentations to train providers on new requirements, or reiterate existing requirements
• Documenting outreach, as applicableYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. -Required Qualifications: -
  • High school diploma or GED
  • 2+ years of experience in healthcare, ideally in clinical or patient care
  • 1+ years of experience with MS Office Products including Excel, Word, and PowerPoint
  • Willing or ability to travel in state (up to 75%) for provider visitsPreferred Qualifications: -
    • Experience with Provider Relations and/or Contracting (2+ years)
    • Experience and knowledge with Medicaid
    • Experience and knowledge with Long-Term Services and Supports providersSoft Skills:
      • Proven analytical skills
      • Excellent written and verbal communication and presentation skills
      • Ability to balance multiple high priority projects and meet quick deadlinesCareers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm) At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. - -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: UnitedHealth Group, Muncie , Provider Relations Advocate - Field Based in Indiana, Other , Muncie, Indiana