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Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Network Management

Country:

US

Postal Code:

10001

Approximate Salary:

Not Specified

Position Type:

Full Time

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Sr Provider Relations Advocate - New York or Long Island, NY

UHG - New York, New York

Posted: 11/9/2018

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, 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.

Primary Responsibilities

  • 75% Travel to Provider locations in Long Island and 5 boroughs of NY City to achieve above goals
  • Assess and interpret customer needs and requirements
  • Identify solutions to non - standard requests and problems
  • Work independently
  • Provide explanations and information to others on difficult issues
  • Act as a resource for others with less experience

NOTE: Frequent on - site visits and meetings with physician groups or hospital systems. Large complexity, high volume, high spend provider groups or specialties


Required Qualifications

  • 3+ years of provider relations and / or provider network experience
  • Intermediate level of proficiency in claims processing and issue resolution
  • 2+ years experience with Medicare and Medicaid regulations
  • 1+ years developing and delivering presentations
  • Intermediate level of proficiency with MS Word, Excel, PowerPoint
  • Ability to travel to Long Island and 5 boroughs of NY City 75%

Preferred Qualifications

  • Previous experience with providers in the territory
  • Ability to form strong, trusting relationships with providers
  • Demonstrated ability to communicate effectively verbally and in writing
  • Ability to work independently and remain on task
  • Good organization and planning skills
  • Ability to prioritize and meet deadlines from multi - staff members within the department
  • Undergraduate or higher level degree

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 at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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.

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