Senior Provider Rel Advocate - Telecommute in Shreveport , LA
Company: UnitedHealth Group
Location: Shreveport
Posted on: June 25, 2022
Job Description:
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)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 and call
quality, 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. -*Employees in jobs labeled
with SCA must support a government Service Contract Act (SCA)
agreement. Generally, work is self-directed and not prescribed.If
you are located in Shreveport , LA, you will have the flexibility
to telecommute* as you take on some tough challenges. - - -Primary
Responsibilities:
- Assist in end-to-end provider claims and help enhance call
quality
- 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
- Serves as a resource to others
- Field-based; Frequent on-site visits and meetings with
physician groups or hospital systems. - Large complexity, high
volume, high spend provider groups or specialtiesIn this role,
you'll be part of a performance driven, fast paced organization
that is serving 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 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 equivalent experience
- 5+ years of health care/managed care experience
- 3+ years of provider relations and/or provider network
experience
- 1+ years of experience with Medicare and Medicaid
regulations
- Intermediate level of proficiency in claims processing and
issue resolution
- Proficiency with MS Word, Excel, PowerPoint, and Access
- Resident of - Shreveport, LA, or surrounding areas -
- Ability to travel up to 25% -
- Full COVID-19 vaccination is an essential job function of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance. Candidates must be able to perform all essential
job functions with or without reasonable accommodationPreferred
Qualification:
- Undergraduate degree or equivalent experienceTo protect the
health and safety of our workforce, patients and communities we
serve, UnitedHealth Group and its affiliate companies require all
employees to disclose COVID-19 vaccination status prior to
beginning employment. In addition, some roles and locations require
full COVID-19 vaccination, including boosters, as an essential job
function. UnitedHealth Group adheres to all federal, state and
local COVID-19 vaccination regulations as well as all client
COVID-19 vaccination requirements and will obtain the necessary
information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment.Careers with
UnitedHealthcare. Let's talk about opportunity. Start with a
Fortune 5 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)*All Telecommuters will
be required to adhere to UnitedHealth Group's Telecommuter
PolicyDiversity 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.
Keywords: UnitedHealth Group, Shreveport , Senior Provider Rel Advocate - Telecommute in Shreveport , LA, Other , Shreveport, Louisiana
Didn't find what you're looking for? Search again!
Loading more jobs...