Positions in this function are accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims. Generally, work is self-directed and not prescribed.
This is a field-based role with frequent on-site visits and meetings with physician groups or hospital systems.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:- Assist in end-to-end provider claims
- Coach, provide feedback and guide others
- 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
- Work with less structured, more complex issues
- Serve as a resource to others
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:- 5+ years of health care and/or managed care experience
- 3+ years of provider relations and/or provider network experience
- 1+ years of experience with Medicare or Medicaid regulations
- Experience working directly with physician groups or hospital systems in the provider community
- Intermediate level of proficiency in claims processing and issue resolution
- Intermediate proficiency with MS Word, Excel, PowerPoint
- Willing and able to travel up to 25%
- Willing and able to work Pacific Coast Hours
Preferred Qualifications:- Experience with hospital and ancillary claims
- Proven excellent presentation skills with experience and comfortability presenting to others
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
