Provider Relationship Advocate - Telecommute in Indiana

Company: UnitedHealth Group
Location: Orlando
Posted on: August 6, 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)

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, energy and commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. You experience the backing and opportunities you'd expect from a Fortune 6 leader.

The Dental -Provider Relations Advocate -is responsible for a full range of provider relations and service interactions within UnitedHealth Group, including -being the face of UnitedHealthcare (UHC) Dental whether in-person or over the phone. - This role is responsible for developing, enhancing and delivering provider education programs, addressing escalated high-level complex issues, and communicating resolution in a professional well written manner. The role also ensures the network composition includes an appropriate distribution of provider specialties through spot recruitment as needed. - This role will cover an assigned territory primarily in Indiana and will focus on our Medicaid line of business.

We are looking for a self-motivator who is comfortable working independently, while enjoying the cost savings and flexibility of a telecommuter position. - You'll be rewarded and recognized for your performance in a challenging environment where you'll be given support and direction for success.

If you are located in Indiana, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
Contribute to design and implementation of programs that build positive relationships between the dental plan, providers, practice managers, and internal stake holders
Address high-level escalated issues and communicate resolution to stakeholders
FQHC and large dental practice relationship owner
In-person visits for network maintenance, education, and ensuring solid provider relationships
Targeted Provider -recruitment and retention as needed

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 :
1+ year experience in a network management related role, such as contracting, provider relations or provider services and/or experience working in a dental office
Intermediate Excel Skill set with ability to manipulate a large volume of data
Proficiency with MS Word and PowerPoint
Reside within the state of Indiana

Preferred Qualifications:
Undergraduate degree or equivalent experience
Medicaid regulation and reimbursement methodology experience
Provider negotiation and contracting experience
Knowledge of Dental products/providers
Knowledge of claim processing systems and guidelines
Excellent verbal and written communication skills
Solid interpersonal skills, ability to establish rapport and work well with others
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, 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 at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

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.

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