Sr Provider Relations Advocate -Bilingual Spanish Required - Tampa, FL and surrounding areas

Travel required in Hillsborough, Polk, Manatee, Hardee and Highland Counties, FL 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The C&S Long Term Care Division requires this position for servicing the LTC provider network, to include provider contracting, credentialing and re-credentialing, conducting provider relations tasks, providing education, working in the provider portal and EVV (electronic visit verification), providing assistance with claims, ensuring network adequacy and closing gaps where necessary, along with network tracking and reporting. This associate works with the case management staff to assist with network needs for member benefits and services, to include working SCAs and PNRs (Single Case Agreements and Provider Network Requests). Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. SM The Sr Provider Relations Advocate services in the capacity of Network Account Manager for managing the Florida SMMC business (Medicaid/Long-Term Care). SR PRAs develops and maintains the provider network (ancillary groups and home and community based service providers), yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners. SR PRAs evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with providers, and ensuring the network composition includes an appropriate distribution of Long-Term Care (LTC), Home & Community Based (HCBS)specialties. This position will be located in Florida in the network servicing region. The goals of our LTC network team are to manage and carry out the provider network requirements for the Health Plan with the State regulator. Provider Relations, Network and Contracting experience is a must, Microsoft Excel intermediate to advanced level is required due to the needs of network reporting. Microsoft Access basics is a plus. Prefer candidate to have Associate Degree or higher. Experience with provider credentialing applications, contracting and fee tables, claims knowledge, Spanish bilingual is required. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Job Scope and Guidelines: Generally work is self-directed and not prescribed Works with less structured, more complex issues Serves as a resource to others Assesses and interprets customer needs and requirements Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analyses Works with minimal guidance; seeks guidance on only the most complex tasks Translates concepts into practice Provides explanations and information to others on difficult issues Coaches, provides feedback, and guides others Acts as a resource for others with less experience  In this role you will be expected to: Apply basic knowledge of provider network functions, ability to work in a fast-paced environment Intermediate skill level in Microsoft programs (Teams, Outlook, Word, Excel, PowerPoint) and spreadsheet management. Microsoft Access knowledge is a plus Ability to take initiative and use problem-solving skills for