Senior Provider Relations Advocate - Remote within Louisiana

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing... together.

UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services, and our endless pursuit for excellence in everything we do extends to your career as well.

This position represents both government and commercial products to build and improve physician and practice manager satisfaction for UHG. This externally focused position is assigned to a market of providers and will maximize the providers' ability to interact with UHG.

If you are located in Louisiana, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities
• Acts as a UHG "navigational" specialist who is externally focused on assigned providers maximizing the providers' ability to interact with UHG
• Provider Education:
• Conducts new provider education including robust training programs such as Quarterly webinars/Lunch and Learn/telephonic or in person seminars
• Educates providers on common billing practice errors
• Educates/answers questions related to total affordability initiatives
• Educates providers on reimbursement policies
• Educates and drives adoption of self service tools
• Service Model Support:
• Educate providers on service model/drive adoption/Conduit to assist when service fails
• Drives providers to the standard process but supplements and supports as necessary
• Partners internally with information exchange when UHG has failed on service
• Active participant on JOC and HP3 programs
• Conduit for provider issues that cross multiple platforms and/or result from integrations

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
• 3+ years of provider relations experience
• 3+ years of experience with Medicaid regulations
• 3+ years of experience with managed care
• Experience and comfortable with putting together and facilitating meetings
• Knowledge of billing and claims processing
• Basic knowledge of CPT and ICD-9 coding
• Solid PC skills in Word, Excel and PowerPoint
• Willing and able to travel up to 25% (site visits and/or industry meetings in LA)

Preferred Qualifications
• Fundaments of NDB, ISET, COSMOS, Facets, Spire
• Proven highly developed presentation skills
• Proven solid relationship building skills and highly developed customer focus skills
• Proven solid self-management skills, ability to handle rapid change and an affinity for continuous learning
• All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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

Apply Job!