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 (primary care physicians and skilled nursing facilities.), 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. Primary Responsibilities:Collaboration with internal teams (clinical and sales)View and analyze financial analysisUse pertinent data and facts to identify and solve a range of problems within area of expertiseInvestigate non - standard requests and problems, with some assistance from othersWork exclusively within a specific knowledge areaPrioritize and organize own work to meet deadlinesProvide explanations and information to others on topics within area of expertise
Required Qualifications:Undergraduate degree or equivalent work experience2+ years of provider relations and / or provider network experienceIntermediate level of proficiency in claims processing and issue resolution1+ years of experience with Medicare and Medicaid regulationsIntermediate level of proficiency with MS Word, Excel, PowerPoint and AccessAbility to travel within Denver-Fort Collins, up to 50%Preferred Qualifications:Experience with giving presentationsPrevious experience working in/with skilled nursing facilitiesPrevious experience with medical billing/codingAlready Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.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.Job Keywords: provider relations, provider network, claims processing, issue resolution, Englewood, CO, Denver, CO, Centennial, CO, Littleton, CO, Lakewood, CO, Colorado
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.