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Provider Relations Advocate - Remote - Upstate NY

Company: UnitedHealth Group
Location: Buffalo
Posted on: January 16, 2022

Job Description:

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 doing your life's best work.(sm)As the PMO Hybrid Provider Advocate, you will be 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. As the Provider Relations Advocate you will design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Your responsibilities will 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 of staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. In this role you will serve as the primary contact point and face of UHC to the provider and play a significant role in creating and maintaining trusting and sustainable relationships with our providers to better serve the health needs of our members and their patients.If you are located in Buffalo, Syracuse or Rochester NY, you will have the flexibility to telecommute* as you take on some tough challenges.Primary Responsibilities:

  • Support Advocate initiatives to achieve measurable improvements in the provider service experience for the market
  • Support Provider issue resolution with internal teams and follow up with providers to close the loop of issues
  • Present regional and market level performance reports to management on project updates, project cycle, and expected results
  • Assess and interpret customer needs and requirements
  • Identify opportunities for process improvements for the assigned market and communicates effectively with associates and manager
  • Support the education and support of providers across all lines of business
  • Monitor industry trends and resources and defines opportunities to enhance provider service offerings
  • Attend provider expos, events and seeks out opportunities to hold provider lunch and learn events
  • Coordinate extensively with internal leads to provide to gain a full understanding of assigned core account portfolio and challenges
  • Work closely with other market advocates and leaders to seek opportunities to further enhance the providers experience with United HealthCare
  • Demonstrate an expert understanding of claims processes and can work through problems to find a solution
  • Understand how a provider's office operates and understands their challenges
  • Develop an intimate knowledge of the Providers' practice / Hospital team
  • Take time to understand the challenges faced by the Provider specific to administration simplification, Healthcare Reform, etc.
  • Bring the "voice of the provider" to help shape outreaches being undertaken by UHG
  • Understand the changing healthcare landscape
  • Demonstrates the ability to use data analytics to solve problems
  • Build relationships with providers and internal contactsYou'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:
    • Undergraduate degree or equivalent combination of education and relevant experience
    • 2+ years of experience working with physicians, hospitals, health systems, or managed care
    • 1+ years of experience in a client facing / customer service role
    • Experience creating and delivering presentations
    • Intermediate level of proficiency with Microsoft Word and Excel
    • Live within commutable distance of the location listed for this specific career opportunity (Western New York)Preferred Qualifications:
      • 2+ years of experience within claims processing and issue resolution
      • Understands all of the product lines and platforms associated with their portfolio of providers
      • Proficiency with Microsoft PowerPoint
      • 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 complianceTo 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 from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter PolicyDiversity 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: PMO Hybrid Provider Advocate, Provider, Relations, Advocate, claims, Buffalo, Syracuse, Rochester, NY, New York, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote

Keywords: UnitedHealth Group, Buffalo , Provider Relations Advocate - Remote - Upstate NY, Other , Buffalo, New York

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