7 days old

Provider Relations Advocate, Medicare & Retirement - Miami-Dade/ Broward Counties, FL

Miami, FL 33128
  • Job Code
    890965

 

Serving one in five Medicare beneficiaries, UnitedHealthcare Medicare & Retirement is the largest business dedicated to the health and wellbeing needs of seniors and other Medicare beneficiaries. For more than three decades, UnitedHealthcare has served the health care coverage needs of Medicare beneficiaries, navigating through multiple evolutions of the Medicare program and growing to become the preferred choice of more beneficiaries than any other company. Today we remain committed to providing people with a choice of innovative health and well-being solutions that help them access the quality care they need and enjoy the superior experience they deserve. 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 M&R Provider Relations Advocate role with 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 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 7 leader.
 
This team manages our care network to ensure we meet the needs of members and providers by driving high-quality care and patient outcomes. The team is responsible for assuring our individual, employer-sponsored, Medicare and Medicaid members have access to affordable, quality care delivered through a network of physicians, health care professionals, hospitals and other care facilities.

 

Our Provider Relations Advocates directly manage the on-going relationship with our providers. They provide training on new programs, issue resolution and support for our provider self-service support online tool Link. These Advocates leverage relationships across the company to ensure our providers receive high-quality service.
 

If you are located in Florida, you will have the flexibility to telecommute* as you take on some tough challenges.

 

Primary Responsibilities:
  • Assist in end-to-end provider claims and help enhance call quality
  • 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
  • Support development and management of provider networks
  • 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
  • Manage provider directory management
  • Optimize workflows, timelines, capacity
You’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.

 

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Posted: 2020-10-15 Expires: 2020-11-14

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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Provider Relations Advocate, Medicare & Retirement - Miami-Dade/ Broward Counties, FL

UnitedHealth Group
Miami, FL 33128

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