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TX Provider Relations Advocate, C&S - Midland/ Odessa/ Del Rio/ Abilene/ San Angelo

Company: UnitedHealth Group
Location: San Angelo
Posted on: March 13, 2020

Job Description:

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  (Long-Term Services & Support LTSS) 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 6 leader. If you are located in this Western TX (Northern, Central and Southern) service delivery area ,  you will have the flexibility to telecommute* as you take on some tough challenges. This position requires travel up to 75% based on business needs. 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 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 Are you ready for a challenge? You'll be a part of a performance driven, fact 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. Demonstrated Skills: Strong organizational skills and manage multiple detailed projects to meet deadlines Professional verbal and written communication skills to include meeting facilitation and presentation Success with customer relationships Business acumen Able to manage multiple projects across multi-functional teams Strong interpersonal and influencing skills Analytical background Strong technical, analytical, and trouble-shooting skills 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: 2+ years of provider relations and/or provider network experience 2+ years of health care/managed care experience 2+ years customer service experience 2+ years in claims processing and issue resolution 1+ years of experience with Medicare and Medicaid regulations Proficiency with MS Word, Excel, PowerPoint and Access Must be able to travel up to 75% of time within the service delivery areas of Western TX (Northern, Central and Southern) Access to reliable transportation that will enable travel within this designated area Preferred Qualifications: Bachelor’s or Master's degree Conflict resolution experience Careers at UnitedHealthcare Community & State.  Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to 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, health care, managed care, customer service, claims processing, TX, Texas, Midland, TX, Odessa, TX, telecommute, travel, provider network, Medicare

Keywords: UnitedHealth Group, San Angelo , TX Provider Relations Advocate, C&S - Midland/ Odessa/ Del Rio/ Abilene/ San Angelo, Other , San Angelo, Texas

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