Senior Provider Relations Advocate - Telecommute

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The Provider Relations Advocate role is a professional, self-directed individual who will serve as the point of contact to take in and resolve complex Operations issues the assigned Hospital Account is experiencing, proactively educate on new products and programs, bring actionable data and tools to assist their organization with achieving their business goals, as well as anticipate challenges their organization might face, while also assisting with finding solutions by working across UHC’s dynamic and matrixed organization for the assigned UHC Core Provider Account in conjunction with their Affiliates representing UHC’s top revenue generating contract.  

The Provider Advocate will be an assigned point of contact for the Hospital’s organization representing both government and commercial products. This externally focused position will maximize the Hospital's ability to interact with UHC through both pre-scheduled engagements with the Hospital’s organizational representatives to discuss new and upcoming changes occurring within UHC that will impact their specific account, discussing the Hospital’s organizational service issues, while also engaging on an ad hoc basis on Hospital’s escalated concerns.

 You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities 

• This advocate role will be assigned/focused on Hospitals for all lines of business
• Ability to become a trusted advisor for assigned Provider Accounts through demonstration of our Cultural Values of Integrity, Compassion, Relationships, Innovation, and Performance
• Provider Relations Advocates must possess an inherent ability to problem-solve complex and novel issues that may not have a clear path to resolution. To be successful, the Advocate must constantly build upon their own experience and understanding of the enterprise and have a high degree of resilience and persistence to root-cause issues and see through to resolution because standard operating procedure guidelines for most issues do not exist or are limited in scope
• Working across dynamic/matrixed org
• Understanding assigned Provider Account’s practice management system to proactively identify issues
• Triage and determine root cause through researching data and claims systems for all lines of business
• Work across the enterprise to design and implement solutions to identified trend issues, through reporting, improvements to processing instructions, or other innovations
• Where applicable, determine broader impact of identified root cause issues beyond the provider where the topic was initiated
• Communicate with and educate providers on outcomes of root cause analyses, including proposed actions for the provider to improve their revenue cycle experience, including education on billing/coding errors, reimbursement policies, etc.
• Collaborate with assigned providers on revenue-cycle based analyses of the provider’s claims data to identify trends in billing, claim processing or other practices that are negatively impacting the provider’s revenue cycle experience
• Conduct live, telephonic and/or web-based meetings with providers to review findings of identified practice gaps by discussing opportunities for UHG and/or the provider to implement changes in the practice to improve the revenue cycle experience
• Use appropriate tracking tools and service models to escalate service issues
• Interact with UHN and other operations areas where necessary for contract intent clarification, compliance questions, etc.
• Make educational outreach as needed related to request from internal areas such as lines of business contacts, appeals and grievances, etc.
• Serve as liaison between the provider and other UHG areas as needed to identify solutions for perceived revenue cycle barriers, such as clinical decisions and coding accuracy audits
• Engages with enterprise business partners to identify common billing practices and educate provider to reduce administrative burden and increase operating efficiencies  
• Position requires travel to meet with providers to support all needs
• Solid self-management skills, ability to handle rapid change and an affinity for continuous learning 

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:

• 3 years of experience in health plans or provider experience, with a demonstrated focus on training, education, and/or revenue cycle work 
• Basic knowledge of UB billing and coding
• Integrated knowledge of UHC Data and Claims Platforms (Cosmos) 
• Proficiency with MS Office suite, SharePoint, and customer management software
• 25% travel
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

• Experience with claims platforms or healthcare platforms (Unet, Facets CSP, NICE)
• Solid customer service skills with critical thinking skills and confidence to evaluate and develop solutions
• Solid analytical, critical reasoning and organizational skills 
• Solid interpersonal skills, establishing rapport and working well with internal partners 
• Excellent verbal and written communication skills with the ability to communicate effectively with external providers 
• Ability to work within multiple complex technology and enterprise-wide systems 
• Ability to prioritize tasks and work independently and effectively under time constraints 

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, 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 candidates 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 UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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.

*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.