Provider Relations Advocate, Community Plan - Central TX

Company: UnitedHealth Group
Location: Temple
Posted on: January 9, 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 - TX Provider Relations Advocate -(Long-Term Services & Support LTSS) role with UnitedHealth Group will call on your knowledge, your energy, and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day.
In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 -leader.
If you are located in Central Texas, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
Assist in end-to-end provider claims and help enhance call quality
Assist in efforts to enhance ease of use of physician portal and future services enhancements
Contribute to design and implementation of programs that build -/ nurture positive relationships between the health plan, providers, and practice managers
Help implement training and development of external providers through education programs
Identify gaps in network composition and services to assist network contracting and development teams
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:
2+ years of provider relations and/or provider network experience
2+ years of health care/managed care experience
2+ years of customer service experience
2+ years of experience -in claims processing and issue resolution
1+ years of experience with Medicare or Medicaid regulations
Proficiency with MS Office (Outlook, Word, Excel, PowerPoint)
Travel up to 75% of time -within Travis and/or MRSA Central TX service delivery areas
Valid driver's license and good driving history
Insured, reliable transportation that will enable travel within this -designated area
Live in -within commutable distance to Travis, Hays, Williamson, Mclennan, Brazos or Bell County -TX
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 compliance
Preferred Qualifications:
Bachelor's or Master's degree
Conflict resolution experience
CMS proficiency

To 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 at UnitedHealthcare Community & State. - Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do -your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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 Advocate, Community Plan, Austin, TX , Waco, TX, Bryan, TX, College Station, TX, Temple, TX, Killeen, TX, Texas, -Telecommute, Telecommuter, Telecommuting, Travis County, Hays County, Williamson County, Mclennan County, Brazos County, -Bell County -Texas

Keywords: UnitedHealth Group, Temple , Provider Relations Advocate, Community Plan - Central TX, Other , Temple, Texas