Introduction to UnitedHealth Group
At UnitedHealth Group, we are dedicated to helping people live healthier lives and making the health system work better for everyone. As a leader in the healthcare industry, we are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes. Our mission is to provide opportunities for everyone, regardless of their background, to live their healthiest life. We believe that diversity creates a healthier atmosphere, and we are an Equal Employment Opportunity/Affirmative Action employer. If you are a motivated individual looking to make a difference in the healthcare industry, we encourage you to join our team as a Provider Engagement Representative in Indiana.
About the Role
As a Provider Engagement Representative, you will play a critical role in building and maintaining positive relationships between our health plan and providers. You will use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. This role requires a strong and diverse skillset, including experience in provider relations, network development, and claims processing. You will be responsible for assisting in end-to-end provider claims, enhancing the ease of use of our provider portal, and contributing to the design and implementation of programs that build and nurture positive relationships between our health plan and providers.
Primary Responsibilities
- Assist in end-to-end provider claims and help enhance call quality to ensure that providers receive the support they need to deliver high-quality care to our members.
- Assist in efforts to enhance the ease of use of our provider portal and future services enhancements to improve the overall experience for our providers.
- Contribute to the design and implementation of programs that build and nurture positive relationships between our health plan and providers, including developing and implementing training and education programs for external providers.
- Support the development and management of our provider networks, including identifying gaps in network composition and services to assist our network contracting and development teams.
- Help implement training and development programs for external providers through education programs to ensure that they have the knowledge and skills they need to deliver high-quality care to our members.
- Identify opportunities to improve our provider networks and services, and work with our network contracting and development teams to implement changes and improvements.
Requirements and Qualifications
To be successful in this role, you will need to have a strong foundation in provider relations and network development, as well as experience with claims processing and issue resolution. You will also need to have excellent communication and customer service skills, as well as the ability to work effectively in a team environment.
Essential Qualifications
- 2 years of provider relations and/or provider network experience, with a strong understanding of the healthcare industry and the needs of our providers.
- 2 years of experience with long-term care nursing facilities, with a strong understanding of the unique challenges and opportunities faced by these providers.
- 1 year of experience with Medicare and Medicaid regulations, with a strong understanding of the regulatory environment and the impact of these regulations on our providers.
- Intermediate level of proficiency in claims processing and issue resolution, with the ability to analyze complex claims issues and develop effective solutions.
- Proficiency with MS Word, Excel, PowerPoint, and Access, with the ability to use these tools to analyze data and develop reports.
- 25-50% local travel, with the ability to travel to meetings and training sessions as needed.
- Reside in Indiana, with the ability to work remotely and participate in virtual meetings and training sessions.
Preferred Qualifications
- 4 years of healthcare/managed care experience, with a strong understanding of the healthcare industry and the needs of our providers.
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy, with the ability to work effectively in a remote environment and maintain confidentiality and security of our systems and data.
Skills and Competencies
To be successful in this role, you will need to have a strong set of skills and competencies, including:
- Communication skills: The ability to communicate effectively with providers, members, and other stakeholders, both verbally and in writing.
- Customer service skills: The ability to provide excellent customer service to our providers, including responding to their needs and concerns in a timely and effective manner.
- Analytical skills: The ability to analyze complex data and develop effective solutions to problems.
- Problem-solving skills: The ability to identify and resolve problems in a timely and effective manner.
- Teamwork and collaboration: The ability to work effectively in a team environment, including collaborating with other stakeholders to achieve common goals.
Career Growth Opportunities and Learning Benefits
At UnitedHealth Group, we are committed to helping our employees grow and develop in their careers. As a Provider Engagement Representative, you will have access to a wide range of training and development opportunities, including:
- Professional development programs: We offer a range of professional development programs, including training sessions, workshops, and conferences, to help you develop your skills and knowledge.
- Mentorship opportunities: We offer mentorship opportunities, including pairing you with an experienced mentor who can provide guidance and support as you develop in your role.
- Career advancement opportunities: We offer career advancement opportunities, including the chance to move into leadership roles or specialize in a particular area of our business.
Work Environment and Company Culture
At UnitedHealth Group, we are committed to creating a positive and inclusive work environment that supports the well-being and success of our employees. Our company culture is built on a set of values that include:
- Respect: We respect each other, our members, and our providers, and we strive to create an environment that is inclusive and welcoming to everyone.
- Integrity: We operate with integrity, including being honest and transparent in all of our interactions.
- Compassion: We are committed to making a positive difference in the lives of our members and our communities, and we strive to create an environment that is supportive and caring.
Compensation, Perks, and Benefits
We offer a competitive salary and benefits package, including:
- Health insurance: We offer a range of health insurance options, including medical, dental, and vision coverage.
- Retirement savings: We offer a 401(k) retirement savings plan, including a company match.
- : We offer paid time off, including vacation days, sick leave, and holidays.
- Professional development opportunities: We offer a range of professional development opportunities, including training sessions, workshops, and conferences.
Conclusion
If you are a motivated and experienced healthcare professional looking to make a difference in the lives of our members and our providers, we encourage you to apply for this exciting opportunity. As a Provider Engagement Representative, you will play a critical role in building and maintaining positive relationships between our health plan and providers, and you will have the opportunity to develop your skills and knowledge in a supportive and inclusive environment. Don't miss out on this chance to join our team and start making a positive impact in the healthcare industry. Apply now to become a part of our dynamic team and take the first step towards a rewarding and challenging career.
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