1+ months

Provider Relations Advocate - Telecommute in Northern or Central CA - 892030

San Francisco, CA 94102 Work Remotely
  • Job Code
    892030

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)

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The Dental Provider Relations Advocate"(DHMO) is responsible for the full range of DHMO provider relations and"service to include interactions with clients and internal stakeholders."Candidate will be responsible for receiving escalated issues and resolving"complex problems, including working on end-to-end provider claims and call"quality, ease of use of provider portal, future service enhancements, and"training & development of external provider education programs. The"Provider Advocate develops the provider dental network yielding a"geographically competitive, broad access, stable network that achieves"objectives and produces an affordable and predictable product for customers and"business partners. The Provider Advocate will initially evaluate and negotiate"contracts in compliance with company contract templates, reimbursement"structure standards, and other key process controls. Responsibilities also"include establishing and maintaining strong business relationships and ensuring"the network composition includes an appropriate distribution of provider"specialties.

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If"you are located in San Francisco, Sacramento,"Fresno or within Northern or Central California, you will have the"flexibility to telecommute* as you take on some tough challenges.

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Primary Responsibilities:

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  • Telecommuter role and will need to"be located within the Northern or Central California region
  • Ability to facilitate virtual"trainings with providers. Post Covid-19, this role will travel within the"designated territory to provide in-person provider education
  • Act as the liaison between the"provider, client and members
  • Use pertinent data and facts to"identify and solve a range of problems within area of expertise
  • Be able to be empathic and have a"strong emotional intelligence while working with clients, stakeholders and"partnerships
  • Prioritize, organize and manage"workloadautonomouslyto meet goals and deadlines
  • Handle high level escalations
  • Provide explanations and information"to others on topics within area of expertise

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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.

Required Qualifications:

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  • Undergraduate degree or equivalent"work-related experience
  • 2+ years of professional experience"in dental related industry, healthcare or sales
  • Ability to prospect new and existing"provider leads
  • Intermediate level of proficiency"with MS Excel, Outlook, Word, Web-Ex virtual meetings
  • Willing and able to travel up to 50%"of the time within territory aligned post Covid-19
  • Must live within a commutable"distance of this specific career opportunity
  • If you need to enter a work site for"any reason, you will be required to screen for symptoms using the ProtectWell"mobile app, Interactive Voice Response (i.e., entering your symptoms via phone"system) or similar UnitedHealth Group-approved symptom screener. When in a"UnitedHealth Group building, employees are required to wear a mask in common"areas. In addition, employees must comply with any state and local masking"orders

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Preferred Qualifications:

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  • DHMO experience
  • Dental industry knowledge
  • Dental Treatment Plan Coordinator / Dental Office Manager
  • Knowledge of DHMO, PPO and Medicare product lines
  • Knowledge of claims processing systems and guidelines
  • Experience within healthcare negotiating contracts and/or"provider relations
  • Experience in a Sales / Call environment
  • Exceptional sales presentation"skills in a high-pressure environment
  • Salesforce experience
  • MS PowerPoint
  • Facets experience
  • Strong written and oral"communication and ability to interact with Sr. Leadership
  • Issue resolution and problem-solving"skills

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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 customer's 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)

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*All Telecommuters will be required to adhere to UnitedHealth"Group's Telecommuter Policy.

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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.

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UnitedHealth Group is a drug-free workplace. Candidates are"required to pass a drug test before beginning employment.

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Job Keywords: Provider Relations, Issue Resolution,"Escalation, Network Management, Medicaid, Sales, Provider Care, Dental, Dental"Contracts, Recruiting, Provider Advocate, Negotiations, E & I, Employer"& Individual, UHC, UnitedHealth Care, UHG, UnitedHealth Group, Telecommute,"Telecommuting, Telecommuter, Remote, Work From Home, San Francisco, Sacramento, Fresno, CA, California

Categories

Posted: 2020-11-25 Expires: 2021-02-11

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 - Telecommute in Northern or Central CA - 892030

UnitedHealth Group
San Francisco, CA 94102

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