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Provider Relations Advocate, Skilled Nursing Facilities Field-Based In Northern Ohio

Expired Job

Unitedhealth Group Inc. Cleveland , OH 44114

Posted 3 months ago

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, 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 5 leader.

Primary Responsibilities:

  • Assist in end-to-end provider claims and help enhance call quality

  • 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

  • Support development and management of provider networks

  • 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

If you are located in northern Ohio, you will have the flexibility to telecommute* as you take on some tough challenges.

Are you ready for a challenge? You'll be part of a performance driven, fast-paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.

Required Qualifications:

  • High school diploma

  • 4 years of health care/managed care experience

  • Proficiency with MS Word and Excel

  • Ability to travel approximately 50%, regionally within northern Ohio

Preferred Qualifications:

  • Undergraduate degree

  • Knowledge of long term care, skilled nursing facilities, and/or nursing homes

  • Provider billing, claims processing, or medical coding experience

  • Experience with Medicare and Medicaid regulations

  • Proficiency with MS PowerPoint

The health system is moving ahead. You can too as you help us build new levels of provider network performance. Join us. Learn more about how you can start doing your life's best work.(sm)

  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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, billing, claims, medical coder, telecommute, northern Ohio, Cleveland, Canton, North Canton, Akron, OH, Ohio

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Provider Relations Advocate, Skilled Nursing Facilities Field-Based In Northern Ohio

Expired Job

Unitedhealth Group Inc.