Sr Provider Relations - Field Dade, Palm Beach, and Broward County FL

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 to start Caring. Connecting. Growing together.

Serving one in five Medicare beneficiaries, UnitedHealthcare Medicare & Retirement is the largest business dedicated to the health and wellbeing needs of seniors and other Medicare beneficiaries. For more than three decades, UnitedHealthcare has served the health care coverage needs of Medicare beneficiaries, navigating through multiple evolutions of the Medicare program and growing to become the preferred choice of more beneficiaries than any other company. Today we remain committed to providing people with a choice of innovative health and well-being solutions that help them access the quality care they need and enjoy the superior experience they deserve. 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 is a non-exempt outside/field role**

This M&R 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 solid 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 5 leader.

This team manages our care network to ensure we meet the needs of members and providers by driving high-quality care and patient outcomes. The team is responsible for assuring our individual, employer-sponsored, Medicare and Medicaid members have access to affordable, quality care delivered through a network of physicians, health care professionals, hospitals and other care facilities.

Our Provider Relations Advocates directly manage the on-going relationship with our providers. They provide training on new programs, issue resolution and support for our provider self-service support online tool Link. These Advocates leverage relationships across the company to ensure our providers receive high-quality service.

This is a home-based position with field responsibilities, approximately 75% of the time, in the assigned territory in FL. If you are located within traveling distance of Dade, Palm Beach, and/or Broward Counties, you will have the flexibility to work remotely, part or the time, as you take on some tough challenges.

Primary Responsibilities:

• Travel to/meet with network providers within these FL counties
• 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
• Manage provider directory management
• Optimize workflows, timelines, capacity

Demonstrated Skills:

• Ability to multi-task and work in a fast-paced environment
• Excellent verbal and written communication 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:

• 1+ years of health, managed care, sales, marketing, or public relations experience
• Proficiency in MS Office (Outlook, Word, Excel, PowerPoint, Access)
• Ability to travel up to 75% of time within this network market area
• Access to insured and reliable transportation that will enable you to travel to client and/or patient sites within a designated area
• Have valid driver's license and good driving history
• Live within Florida Counties: Palm Beach, Miami Dade and Broward

Preferred Qualifications:

• 1+ years of experience with Medicare and/or Medicaid regulations
• Provider relations and/or network management experience
• Experience developing and maintaining credentialing policies and procedures
• Experience working in a matrixed organization
• Intermediate level proficiency in claims processing and issue resolution
• Bilingual Spanish

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.

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