Overview

Healthcare Provider Relations Advocate – Telecommute within… Jobs in Los Angeles at UnitedHealth Group


Title: Healthcare Provider Relations Advocate – Telecommute within…

Company: UnitedHealth Group

Location: Los Angeles

UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doingyour life’s best work.(sm)

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 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 5 leader.

If you are located in Southern, CA, 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

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.

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:

High school diploma or GED

4+ years of health care/managed care experience

2+ years of provider relations and/or provider network experience

You will be asked to travel occassionally

Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

Undergraduate degree

1+ years experience with Medicare and Medicaid regulations

Proficiency with MS Word, Excel, PowerPoint and Access

Intermediate level of proficiency in claims processing and issue resolution

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information …

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About UnitedHealth Group