Experienced Field Based Provider Relations Advocate – Healthcare Industry Expertise Required for Remote Opportunity in Knoxville and Surrounding Areas

Introduction to United Health Group

At United Health Group, we are dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background, income, or location. As a leader in the healthcare industry, we are committed to mitigating our impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes.

Job Overview

We are seeking an experienced Field Based Provider Relations Advocate to join our team in Knoxville and surrounding areas. This is a field-based opportunity that requires travel up to 75% within the specific region in Tennessee. As a Provider Relations Advocate, you will be responsible for assisting in the full range of provider relations and service interactions, including working on end-to-end provider claim and call quality, ease of use of physician portal, and future service enhancements. You will also be involved in training and development of external provider education programs and designing and implementing programs to build and nurture positive relationships between the health plan, providers, and practice managers.

Primary Responsibilities

• Training and ongoing education of providers on policies and procedures
• On-site assessments to ensure that providers are compliant with contractual terms
• Troubleshooting provider concerns internally with the expectation of timely resolution of issues
• Traveling to provider offices quarterly to build relationships and provide support
• Presentations to train providers on new requirements or reiterate existing requirements
• Documenting outreach and tracking progress as applicable

Requirements and Qualifications

To be successful in this role, you will need to have a strong background in healthcare, preferably in provider relations and/or contracting. You should have excellent written and verbal communication and presentation skills, as well as solid analytical skills. You should be able to balance multiple high-priority projects and meet quick deadlines.

Essential Qualifications

• High school diploma or equivalent required
• 2+ years of work experience, preferably in healthcare
• 2+ years of experience in Provider Relations and/or Contracting
• Intermediate level skills with MS Office Products, including Excel, Word, and PowerPoint
• Ability to travel in-state (up to 75%) for provider visits

Preferred Qualifications

• Experience working in the healthcare industry, in a role where provider interaction was involved
• Experience and knowledge with Medicaid
• Experience and knowledge with Long-Term Services and Supports providers

Skills and Competencies

In addition to the essential and preferred qualifications, you should possess the following skills and competencies:

• Solid analytical skills to analyze data and identify trends
• Excellent written and verbal communication and presentation skills to effectively communicate with providers and internal stakeholders
• Ability to balance multiple high-priority projects and meet quick deadlines in a fast-paced environment
• Strong problem-solving skills to troubleshoot provider concerns and resolve issues in a timely manner
• Ability to work independently and as part of a team to achieve common goals

Career Growth Opportunities and Learning Benefits

At United Health Group, we are committed to helping our employees grow and develop in their careers. As a Field Based Provider Relations Advocate, you will have the opportunity to work on a variety of projects and initiatives, develop your skills and expertise, and advance in your career. You will also have access to training and development programs, mentorship, and coaching to help you succeed in your role and achieve your career goals.

Work Environment and Company Culture

At United Health Group, we are committed to creating a positive and inclusive work environment that values diversity, equity, and inclusion. We believe that everyone deserves the opportunity to live their healthiest life, and we are committed to making a positive impact on the communities we serve. As a Field Based Provider Relations Advocate, you will be part of a team that is dedicated to making a difference in the lives of others.

Compensation, Perks, and Benefits

We offer a competitive salary and benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off. We also offer a range of perks and benefits, including flexible work arrangements, professional development opportunities, and a positive and supportive work environment.

Conclusion

If you are a motivated and experienced healthcare professional who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity. As a Field Based Provider Relations Advocate, you will have the opportunity to work on a variety of projects and initiatives, develop your skills and expertise, and advance in your career. You will also be part of a team that is dedicated to making a positive impact on the communities we serve. Don't miss out on this opportunity to join our team and start making a difference today!

How to Apply

To apply for this role, please submit your application, including your resume and cover letter, through our website. We look forward to hearing from you and exploring how you can contribute to our team.

United Health 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.

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