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UnitedHealth Group Provider Engagement Representative - Telecommute in CO in Englewood, Colorado

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)

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 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 7 leader.

If you are located within the state of Colorado, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Assignment of, and on lead for a number of Skilled Nursing Facilities & Assisted Living Facilities to develop and maintain overall UnitedHealthcare business relationship

  • Support all education opportunities on UnitedHealthcare businesses which include in person and telephonic interactions

  • Lead and/or support external facing Account and business review meetings with key Skilled Nursing Facility staff

  • Provide explanations and information to others on topics within area of expertise

  • Prioritize and organize own work to meet deadlines cross functionally within the organization

  • Investigate non-standard requests and issues, prior to escalation if needed

  • Work exclusively within a specific knowledge area

  • Salesforce Data Base - update & maintain regularly with information following AR, Bus Review and JOC Meetings with facilities

  • Support Post-Acute Priorities

  • ISNP Business Development -assist with planned growth initiatives for ISNP business in 2021

  • IE-SNP Business Development - assist with planned growth initiatives for IE-SNP business in 2021

  • Education and Training to facilities on Medication Adherence requirements for members

  • Provide outreach and education on updated policies, new initiatives, performance and others as necessary

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 experience

  • 2+ years of provider relations and/or provider network experience

  • Ability to travel regionally up to 25%

  • Intermediate level of proficiency in claims processing and issue resolution

  • 1+ years of experience with Medicare and/or Medicaid regulations

  • Exceptional presentation, written and verbal communication skills

  • Ability to prioritize and meet deadlines

  • Intermediate level of proficiency with MS Word, Excel, PowerPoint and Teams

  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Experience working in a Skilled Nursing or Assisted Living Facility

  • Experience with Salesforce databases

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)

Colorado Residents Only: The salary range for Colorado residents is $53,300 to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*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: UHG, Optum, Provider Advocate, Provider Engagement, Telecommute, Work from Home, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Colorado, Colorado Springs, CO

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