At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

As the PMO Hybrid Provider Advocate, you will be responsible for 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 & development of external provider education programs. As the Provider Relations Advocate you will design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Your responsibilities will also include directing and implementing strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development of staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. In this role you will serve as the primary contact point and face of UHC to the provider and play a significant role in creating and maintaining trusting and sustainable relationships with our providers to better serve the health needs of our members and their patients.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Support Advocate initiatives to achieve measurable improvements in the provider service experience for the market
• Support Provider issue resolution with internal teams and follow up with providers to close the loop of issues
• Present regional and market level performance reports to management on project updates, project cycle, and expected results
• Assess and interpret customer needs and requirements
• Identify opportunities for process improvements for the assigned market and communicates effectively with associates and manager
• Support the education and support of providers across all lines of business
• Monitor industry trends and resources and defines opportunities to enhance provider service offerings
• Attend provider expos, events and seeks out opportunities to hold provider lunch and learn events
• Coordinate extensively with internal leads to provide to gain a full understanding of assigned core account portfolio and challenges
• Work closely with other market advocates and leaders to seek opportunities to further enhance the providers experience with United HealthCare
• Demonstrate an expert understanding of claims processes and can work through problems to find a solution
• Understand how a provider’s office operates and understands their challenges
• Develop an intimate knowledge of the Providers’ practice / Hospital team
• Take time to understand the challenges faced by the Provider specific to administration simplification, Healthcare Reform, etc.
• Bring the “voice of the provider” to help shape outreaches being undertaken by UHG
• Understand the changing healthcare landscape
• Demonstrates the ability to use data analytics to solve problems
• Build relationships with providers and internal contacts
  

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:

• Undergraduate degree or equivalent combination of education and relevant experience
• 2+ years of experience working with physicians, hospitals, health systems, or managed care
• 1+ years of experience in a client facing / customer service role
• Experience creating and delivering presentations
• Intermediate level of proficiency with Microsoft Word and Excel

Preferred Qualifications:

• 2+ years of experience within claims processing and issue resolution
• Proficiency with Microsoft PowerPoint
• Understands all of the product lines and platforms associated with their portfolio of providers
  

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

Colorado, Connecticut, Nevada, or New York City Residents Only: The salary range for Colorado residents is $54,400 to $97,000. The salary range for Connecticut/Nevada/New York City residents is $60,000 to $106,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.