Senior Provider Relations Advocate - Remote; Mountain Time

Improve the lives of others while Caring. Connecting. Growing together.

Job Description
- Senior Provider Relations Advocate
- Remote (Mountain Time Hours) (2392215)

Senior Provider Relations Advocate
- Remote (Mountain Time Hours) - 2392215

At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring.

Connecting. Growing together.

There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like United Health Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in.

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 7 leader.

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.

• 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
• In this role, you’ll be part of a performance driven, fast paced organization that serves multiple markets. You’ll have frequent interactions with senior management and physicians as you communicate about ways 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 directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• 3+ 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
• Intermediat…