Provider Relations Advocate - Overland Park, KS at Overland Park

Job Description

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 lifes best work. The Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including enhancing the end-to-end provider experience, provider training on use of provider portal and other tools and future service enhancements, and delivering external provider education programs. Provider Relations Advocates design and implement programs to build and nurture positive relationships between the health plan, providers (ancillary, home and community based service providers, etc.), and practice managers. Responsibilities also include implementing strategies relating to the support of a provider network, identifying gaps in network composition and services and assisting with network development and provider credentialing objectives, working collaboratively with providers to identify and resolve issues including remediating operational short-falls and researching and remediating claims. In this role you will be expected to: Use pertinent data and facts to identify and solve a range of problems within area of expertise. Investigate non-standard requests and problems, with some assistance from others. Work exclusively within a specific knowledge area . Prioritize and organize own work to meet deadlines. Provide explanations and information to others on topics within area of expertise. Reponsible for approximately 1,000 Home and Community Based Service (HCBS) providers.This role is based in Kansas.

Job Requirements

Requirements: Undergraduate degree preferred 2+ years of provider relations and/or provider network experience. Intermediate level of proficiency in claims processing and issue resolution. 1+ years experience with Medicare and Medicaid regulations. Exceptional presentation, written and verbal communication skills. Ability to work independently and remain on task. Good organization and planning skills. Ability to prioritize and meet deadlines from multi-staff members within the department. Intermediate level of proficiency with MS Word, Excel, PowerPoint and Access. 2+ years of provider credentialing experience Intermediate level of proficiency in provider contractingUnitedHealthcare Community & State is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If youre ready to help make health care work better for more people, you can make a historic impact on the future of health care at UnitedHealthcare Community & State.We contract with states and other government agencies to provide care for over two million individuals. Working with physicians and other care providers, we ensure that our members obtain the care they need with a coordinated approach. This enables us to break down barriers, which makes health care easier for our customers to manage. That takes a lot of time. It takes a lot of good ideas. Most of all - it takes an entire team of talent. Individuals with the tenacity and the dedication to make things work better for millions of people all over our country.You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Kansas, City: Overland Park, Company: UnitedHealth Group.