Provider Relations Advocate - Telecommute in Nevada

UnitedHealth Group

Las Vegas Nevada

United States

Other
(No Timezone Provided)

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, 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 the state of Nevada, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Assist in end-to-end provider claims processing and resolution
  • Local market presence; Relationship Manager
  • Front Line Account Management resolving provider issues
  • Assist in efforts to enhance ease of use of provider portal and future services enhancements
  • Help implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
  • Support development and management of provider networks
  • 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
  • Act as the liaison between the provider, client and members
  • Handling high level escalations
  • Be able to manage workload automatously and meet goals and deadlines
  • Travel within assigned territory will be required

In this role, you'll be part of a performance driven, fast paced organization that is serving multiple markets and you will have frequent interaction with providers as you educate and focus on building relationships to evolve ongoing processes and programs.

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:

  • High school diploma or GED
  • 1+ years insurance claims experience
  • 1+ years of Medicaid experience
  • 1+ years of experience providing training or education
  • Intermediate or higher level of proficiency with MS Outlook
  • Ability to travel up to 50% of the time within the State of Hawaii

Preferred Qualifications:

  • Experience with CSP Facets
  • Provider Advocate experience
  • HI Medicaid experience
  • Claims processing and issue resolution knowledge and experience
  • Knowledge of Medicaid Regulations
  • Dental industry knowledge
  • Dental Treatment Plan Coordinator/Dental Office Manager
  • Intermediate or higher level of proficiency with MS Word, Excel and PowerPoint
  • Excellent written and oral communication
  • Ability to work independently and remain on task with little to no day to day supervision
  • Good organization, planning skills
  • Ability to prioritize and meet deadlines from multiple staff members throughout the department

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life's best work.(sm)


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, Provider Advocate, HCBS, Home And Community Based Services, Claims Resolution, Medicaid, Lag Vegas, NV, Nevada, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote

Provider Relations Advocate - Telecommute in Nevada

UnitedHealth Group

Las Vegas Nevada

United States

Other

(No Timezone Provided)

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, 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 the state of Nevada, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Assist in end-to-end provider claims processing and resolution
  • Local market presence; Relationship Manager
  • Front Line Account Management resolving provider issues
  • Assist in efforts to enhance ease of use of provider portal and future services enhancements
  • Help implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
  • Support development and management of provider networks
  • 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
  • Act as the liaison between the provider, client and members
  • Handling high level escalations
  • Be able to manage workload automatously and meet goals and deadlines
  • Travel within assigned territory will be required

In this role, you'll be part of a performance driven, fast paced organization that is serving multiple markets and you will have frequent interaction with providers as you educate and focus on building relationships to evolve ongoing processes and programs.

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:

  • High school diploma or GED
  • 1+ years insurance claims experience
  • 1+ years of Medicaid experience
  • 1+ years of experience providing training or education
  • Intermediate or higher level of proficiency with MS Outlook
  • Ability to travel up to 50% of the time within the State of Hawaii

Preferred Qualifications:

  • Experience with CSP Facets
  • Provider Advocate experience
  • HI Medicaid experience
  • Claims processing and issue resolution knowledge and experience
  • Knowledge of Medicaid Regulations
  • Dental industry knowledge
  • Dental Treatment Plan Coordinator/Dental Office Manager
  • Intermediate or higher level of proficiency with MS Word, Excel and PowerPoint
  • Excellent written and oral communication
  • Ability to work independently and remain on task with little to no day to day supervision
  • Good organization, planning skills
  • Ability to prioritize and meet deadlines from multiple staff members throughout the department

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life's best work.(sm)


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, Provider Advocate, HCBS, Home And Community Based Services, Claims Resolution, Medicaid, Lag Vegas, NV, Nevada, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote