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Job Information

UnitedHealth Group Sr Provider Relations Advocate - Telecommute in Middle Tennessee in Brentwood, Tennessee

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Collaborative work environment. Cohesive Team where every individual is recognized for their unique experience and contributions as we seek to improve care for our consumers and service our providers and the communities they serve.

If you are located in Middle Tennessee, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Oversee performance of end-to-end provider servicing

  • Resolve complex problems and provide guidance to members of own team

  • Drive the design and implementation of programs that build / nurture positive relationships between the health plan, providers and practice managers

  • Ensure implementation of training and education programs for external providers

  • Identify gaps in network composition and services to assist network contracting and development teams

  • Execute on departmental plans and priorities to address business and operational challenges

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 or equivalent work experience

  • 3+ years of provider relations experience

  • 3+ years of experience with Medicare and Medicaid regulations (preferably TennCare Medicaid)

  • 2+ years of experience with managed care

  • At least an intermediate level of knowledge of billing and claims processing

  • Experience / knowledge of behavioral health

  • Proficiency in MS Word, PowerPoint, Excel and

  • Ability to travel locally 25-50%

  • Must reside in Middle TN

  • 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

Telecommute is available for this role

Preferred Qualifications:

  • Contracting experience

  • Salesforce experience

  • Self-starter; able to work independently with minimum supervision

  • Strong verbal and written communication skills

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 candidat es 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 with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity 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 by law.

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

Job Keywords: Sr Provider Relations Advocate, Provider Relations Advocate, Relations Advocate, Work from Home, WFH, Work At Home, WAH, Remote, Telecommute