Provider Relations Advocate Based in Florida - Travel in South Florida or Tampa area
UnitedHealth Group
Jobs: 3662
Provider Relations Advocate Based in Florida - Travel in South Florida or Tampa area
Onsite
Tampa, FL, United States
Tampa, FL, United States
Posted 5 days ago
Job Details
Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together. 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 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 6 leader. If you are located in South Florida or Tampa area, you will have the flexibility to work remotely* as you take on some tough challenges. 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
- Directs and implements strategies relating to the development and management of a provider network
- May also be involved in identifying and remediating operational short-falls and researching and remediating claims and contracts.
- Field based, on-site visits and meetings with physician groups or hospital systems as needed
- Attend on-site departmental meetings
- 4+ years of health care/managed care experience
- 2+ years of provider relations and/or provider network experience
- 2+ years of proficiency in claims processing and issue resolution
- 1+ years of experience with Medicare and Medicaid regulations
- 1+ years of experience facilitating Joint Operations Committee (JOC) meetings with provider and hospital personnel including clinical leaders in large group settings
- Proficiency with MS Office: Word, Excel, and creating PowerPoint presentations
- Ability to travel up to 2 hour radius from your home base
- Medicare provider types in rural areas such as (RHC, FQHC, CAH) facilities
Learn more about UnitedHealth Group
Help us maintain the quality of jobs posted on PowerToFly. Let us know if this job is closed.
Mission
We're connecting diverse talent to big career moves. Meeting people who boost your career is hard - yet networking is key to growth and economic empowerment. We’re here to support you - within your current workplace or somewhere new. Upskill, join daily virtual events, apply to roles (it’s free!).
Are you hiring? Join our platform for diversifiying your team