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UnitedHealth Group

UnitedHealth Group is looking for a Provider Relations Advocate – Remote in MA Only  #JobBoardsNearPagosaSprings #PagosaSpringsNewJob

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)The Provider Relations Advocate is responsible for the full range of provider relations and service interactions within Optum, including working on end-to-end provider issue resolution, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Provider Relations Advocates design and implement programs to build and nurture positive relationships between the health plan, providers (physician, facilities, etc.), and practice managers. Responsibilities may also include the project management of complex issue resolution involving cross functional teams.  This position will cover an assigned territory in MA, including central and western, MA. The individuals selected must live in MA. If you are located in the state of MA, you will have the flexibility to telecommute* as you take on some tough challenges.Primary Responsibilities: Engagement with internal resources to project manage provider issue resolution (claims, credentialing, provider set-up) Provider education and outreach regarding policies, processes and ease of use of our provider self-service portal, provider express Responsible for the delivery of external provider training and education programs either in-person, virtually or through larger external provider events Build and nurture trusted relationships with high touch and territorial providers in assigned counties for all LOB. Establish recurring monthly meetings with assigned high-touch providers to discuss outstanding issues and the appropriate escalation path for resolutionYoull 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 inRequired Qualifications: High school diploma/GED 2+ years of provider relations and/or provider network experience 2+ years of experience with Medicare and Medicaid regulations 2+ years presentation experience Intermediate level of proficiency in billing / coding / claims analysis; claim issue resolution Intermediate level of proficiency with MS Excel Valid drivers license Must reside in the state of Massachusetts  If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking ordersPreferred Qualifications: Undergraduate degree Experience with providers in this region Provider Relations experience at the facility level Excellent communication skills Solid organization and planning skills Ability to work independently Demonstrated ability to build strong relationships with providers and with internal departmentsUnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here.*All Telecommuters will be required to adhere to UnitedHealth Groups 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 employmentJob Keywords: Senior Provider Relations Advocate, Provider Relations Representative, Growing Business Line (Behavioral Health), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH, Boston, MA, Massachusetts, #RPO Recommended SkillsMedicaidMedicareCredentialingClaimsPresentationsProject ManagementRecommended JobsCare AdvocateAtlanta,GaCare Advocate, Atlanta,GaProvider Relations Advocate – Remote in MA OnlyUnitedHealth GroupWork From HomeFull-TimeProvider Relations Advocate – Telecommute from Massachusetts OnlyUnitedHealth GroupAtlantaCustomer Service RepresentativeAtlanta$50,000 – $70,000/Year

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