Provider Relations Advocate, Behavioral Health Job Opening

Provider Relations Advocate, Behavioral Health

UnitedHealth Group

• West Valley City, Utah
— Full-time
Category: Social Worker
The 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 and development of external provider education programs. 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.

You'll enjoy the flexibility to telecommute* from within Utah, Montana, or Wyoming as you take on some tough challenges.

Primary Responsibilities:
  • Use pertinent data and facts to identify and solve a range of problems within area of expertise.
  • Investigate non-standard requests and problems, with some assistance from others.
  • Work exclusively within a specific knowledge area .
  • Prioritize and organize own work to meet deadlines.
  • Provide explanations and information to others on topics within area of expertise.
  • Conduct physical quarterly visits to providers
  • Educate providers on best billing practices, portal usage, and training opportunities
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.

Required Qualifications:
  • 2+ years of provider relations and/or provider network experience.
  • Intermediate level of proficiency in claims processing and issue resolution.
  • 1+ years experience with Medicare and Medicaid regulations.
  • Exceptional presentation, written and verbal communication skills.
  • 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.
  • Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access.
  • Reliable transportation and the ability to travel within assigned territory (day trips) 25% of the time.
Preferred Qualifications:
  • Undergraduate degree.
Technology Careers with Optum. Information and technology have amazing power to transform the health care industry and improve people’s lives. This is where it’s happening. This is where you’ll help solve the problems that have never been solved. We’re freeing information so it can be used safely and securely wherever it’s needed. We’re creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to 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.