[Hiring] Senior Provider Relations Advocate @UnitedHealth Group

Role Description

The Dedicated Client Advocate will be responsible for providing education and training for this dedicated provider network. This position will provide ongoing training, education, and relationship building for all providers in states where the Client has membership.

• This position will require additional provider education along with the high touch high service model that is contractually required for this dedicated provider network.
• The Client is a high touch, high service client that requires expedited resolution to service issues.
• Responsibilities also include assuring network adequacy, and access standards are met for the new Client membership.
• Develop and execute recruitment plans, where applicable, and coordinate with the dedicated contracting team.

Qualifications

• 3+ years of experience in a related medical field or health plan setting (network management, contracting and/or recruitment, or provider relations).
• Experience interfacing effectively internally with all levels of staff and externally with a wide range of people such as physicians, office staff, hospital executives, medical groups, IPA’s, and community organizations.
• Working knowledge of Medicaid, Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage.
• Knowledge of state and federal laws relating to Medicare.
• Proficiency in Microsoft Word, Excel, and PowerPoint.
• Ability and willingness to travel, both locally and non-locally, as determined by business need.
• Access to reliable transportation and valid US driver’s license.

Requirements

• Healthcare management experience.
• Proven solid business acumen, analytical, critical thinking, and persuasion skills.
• Proven ability to function as a mentor to others.
• Proven ability to develop long-term positive working relationships.
• Proven ability to work independently, use good judgment and decision-making process.
• Proven ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals.

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays.
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account.
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage.
• 401(k) Savings Plan, Employee Stock Purchase Plan.
• Education Reimbursement.
• Employee Discounts.
• Employee Assistance Program.
• Employee Referral Bonus Program.
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).