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 life's best work.(sm) As the Provider Relations Advocate, you will be responsible for the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. As the Provider Relations Advocate you will design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Your responsibilities will also include directing and implementing strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development of staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. In this role you will serve as the primary contact point and face of UHC to the provider and play a significant role in creating and maintaining trusting and sustainable relationships with our providers to better serve the health needs of our members and their patients. Primary Responsibilities:Support Advocate initiatives to achieve measurable improvements in the provider service experience for the marketSupport Provider issue resolution with internal teams and follow up with providers to close the loop of issuesPresent regional and market level performance reports to management on project updates, project cycle, and expected resultsAssess and interpret customer needs and requirementsIdentify opportunities for process improvements for the assigned market and communicates effectively with associates and managerSupport the education and support of providers across all lines of businessMonitor industry trends and resources and defines opportunities to enhance provider service offeringsAttend provider expos, events and seeks out opportunities to hold provider lunch and learn eventsCoordinate extensively with internal leads to provide to gain a full understanding of assigned core account portfolio and challengesWork closely with other market advocates and leaders to seek opportunities to further enhance the providers experience with United HealthCareDemonstrate an expert understanding of claims processes and can work through problems to find a solutionUnderstand how a providers office operates and understands their challengesDevelop an intimate knowledge of the Providers' practice / Hospital teamTake time to understand the challenges faced by the Provider specific to administration simplification, Healthcare Reform, etc.Bring the "voice of the provider" to help shape outreaches being undertaken by UHGUnderstand the changing healthcare landscapeDemonstrates the ability to use data analytics to solve problemsBuild relationships with providers and internal contacts
Required Qualifications:Undergraduate degree or equivalent combination of education and relevant experience2+ years of experience working with physicians, hospitals, health systems, or managed care2+ years of experience with in claims processing and issue resolution1+ years of experience in a client facing / customer service roleIntermediate level of proficiency with Microsoft Word and ExcelExperience creating and delivering presentationsMust live within commutable distance of the location listed for this specific career opportunity. (Erie/Niagara County)Preferred Qualifications:Proficiency with Microsoft PowerPointUnderstands all of the product lines and platforms associated with their portfolio of providersCareers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do 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. Job Keywords: Provider, Relations, Advocate, claims, Buffalo, NY, New York
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.