9 days old

Provider Relations Advocate - Telecommute in Reno, NV

Reno, NV 89501 Work Remotely
  • Job Code
    876507

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 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. 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.

The Provider Advocate's responsibilities entail on-site provider education along with follow-up on Provider issues to include claims adjudication. Advocate also performs off-site Secret Shop calls and After Hours call audits to network providers. The Advocates also conduct Joint Operations Committee meetings with network providers and the health plan inter-disciplinary teams.

If you are located in Reno, NV you will have the flexibility to telecommute* 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

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: 2020-06-24 Expires: 2020-07-24

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 Reno, NV

UnitedHealth Group
Reno, NV 89501

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