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UnitedHealth Group Provider Relations Advocate - Telecommute in Knoxville and Chattanooga, TN in Knoxville, Tennessee

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)

The Provider Service Representative is responsible for assisting in the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training and development of external provider education programs. Provider Service Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.

Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

If you are located within Knoxville and Chattanooga, TN you will have the flexibility to telecommute* as you take on some tough challenges. Must reside in TN

Primary Responsibilities:

  • Training and on-going education of providers on policies and procedures

  • On-site assessments to ensure that providers are compliant with contractual terms

  • Trouble shooting provider concerns internally with the expectation of timely resolution of issues

  • Traveling to provider offices quarterly to build relationships, up to 75% travel within the eastern region in Tennessee

  • Presentations to train providers on new requirements, or reiterate existing requirements

  • Documenting outreach, as applicable

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:

  • Bachelor’s Degree, High School Diploma accepted

  • 2+ years of work experience (preferably in health care)

  • 2+ years of experience in Provider Relations and/or Contracting

  • Claims experience

  • Intermediate level skills with MS Office Products including Excel, Word, and PowerPoint

  • Travel in state (up to 75%) for provider visits

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Preferred Qualifications:

  • Experience working in the healthcare industry, in a role where provider interaction was involved

  • Experience and knowledge with Medicaid

  • Experience and knowledge with Long-Term Services and Supports providers

  • Solid analytical skills

  • Excellent written and verbal communication and presentation skills

  • Ability to balance multiple high priority projects and meet quick deadlines

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination 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 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)

*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 bylower 48 law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Provider Relations Advocate, Training, Healthcare, Claims, Contracting, Medicaid, Knoxville and Chattanooga,TN, Tennessee, Telecommute, WFH, Work From Home, WAH, Work At Home

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