Provider Relations Advocate Manager, Remote In New Mexico

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.

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 Manager 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 5 leader.

If you live within New Mexico, you’ll enjoy the flexibility to work remotely * as you take on some tough challenges.

Primary Responsibilities:

• Manage and track all escalated provider issue for Home and Community Based Services
• Lead team of Provider Advocates through claims and provider issue resolutions
• Act as SME for Home and Community Based Services providers within the health plan
• Produce reporting for health plan operations related to Home and Community Based Services
• Advocate for enhancements of physician portal; collect feedback from Community Providers
• Design and implement programs that build/nurture positive relationships between the health plan, providers, provider administrative staff and practice managers
• Demonstrate ability to problem solve with minimum direction from supervisor
• Perform program management activities to support efficiency initiatives within the health plan operations department
• Work with applicable business partners to solve provider problems; influence functional teams to produce high-quality, timely solutions
• Support development and management of Home and Community Based provider networks
• Implement training and development of external providers through education programs
• Identify gaps in network composition and services to support network contracting and development teams with insights for recruitment targets
• 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

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:

• 4+ years of health care/managed care experience
• 2+ years of Home and Community Based Health experience
• 1+ years of experience with Medicare and Medicaid regulations
• Claims processing and issue resolution experience
• Provider relations and/or provider network experience
• Residency in state of New Mexico
• Ability to travel up to 25%

Preferred Qualifications:

• 2+ years claims processing and issue resolution experience
• 2+ years of Provider Relations and/or provider network experience
• Proficiency with MS Word, Excel, PowerPoint

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington residents is $85,000 to $167,300 per year. 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.

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.