12 hours
2018-08-202018-09-19

Provider Relations Advocate, Behavioral Health Network Manager – Telecommute in Seattle/Tacoma, Washington

UnitedHealth Group
Seattle, WA
  • Job Code
    778378
778378 Provider Relations Advocate Behavioral Health Network Telecommute in Washington State

Provider Relations Advocate, Behavioral Health Network Manager – Telecommute in Seattle/Tacoma, Washington (778378)

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 Provider Relations Advocate role with Optum and 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 behavioral health systems 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 Provider Relations Advocate serves the state of Washington.  It is an essential role responsible for managing the network of providers who serve the Medicaid Members with behavioral health needs.  
 
If you are located in the Seattle/Tacoma area of Washington, you will have the flexibility to telecommute* as you take on some tough challenges.
 
 
Primary Responsibilities:
  • Maintain a comprehensive knowledge of providers in the region
  • Develop and maintain relations through regular visits and participation in regional committees and provider meetings
  • Manage the credentialing process of new providers and facilitate changes as they occur
  • Monitor member access to services and implement a recruiting strategy where gaps occur
  • Manage fee schedules and updates to ensure accurate claims processing
  • Serve as a representative of the product and must be knowledgeable on company and contract plans to effectively serve and facilitate communication
Are you ready for a challenge? You’ll be part of a performance driven, fast paced organization that is serving multiple markets and you’ll be charged with educating and building relationships with providers to evolve ongoing processes and programs.
Required Qualifications:
  • Undergraduate degree or equivalent experience
  • 4+ years of health care / managed care experience
  • 2+ years of provider relations and / or provider network experience
  • Understanding and comfort with working in complex data systems (such as Provider Express, Facets, Cosmos, etc.)
  • Proficiency with MS Word, Excel
  • Experience with Medicaid regulations
  • Ability to travel approximately 25-40% within Washington, and reside within the Seattle/Tacoma area of Washington
Preferred Qualifications:
  • Proficiency in claims processing and issue resolution
 
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 Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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.
 
Job Keywords: Network manager, provider liaison

Job Details

  • Contest Number778378
  • Job TitleProvider Relations Advocate, Behavioral Health Network Manager – Telecommute in Seattle/Tacoma, Washington
  • Job FamilyNetwork Management
  • Business SegmentOptum Consumer Solutions Group

Job Location Information

  • Seattle, WA
    United States
    North America
  • Other LocationsTacoma, WA

Additional Job Detail Information

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

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Provider Relations Advocate, Behavioral Health Network Manager – Telecommute in Seattle/Tacoma, Washington

UnitedHealth Group
Seattle, WA

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