UnitedHealth Group Healthcare Provider Relations Advocate - Las Vegas, NV in Las Vegas, Nevada

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 6 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

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 or equivalent work experience

  • 4+ years of health care/managed care experience

  • 2+ years of provider relations and/or provider network experience

  • Intermediate level of proficiency in claims processing and issue resolution

  • 1+ years experience with Medicare and Medicaid regulations

  • Proficiency with MS Word, Excel, PowerPoint and Access

Preferred Qualifications

  • Undergraduate degree

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)

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Provider Network, Network Development, Provider Services, Provider Education, Provider Relations, Las Vegas, NV