Senior Provider Relations Advocate - Remote in AZ

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 This role supports provider network performance by strengthening provider relationships, resolving complex operational issues, delivering provider education, and partnering across claims, contracting, compliance, network, and operational teams. Jobs in this family manage provider networks that support the client base, including HCBS providers, assisted living facilities, and in-home support services. Responsibilities include provider relations activities, provider performance analysis, provider reimbursement arrangements, and credentialing activities. Positions in this function are accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training and development of external provider education programs. Designs and implements programs to build and nurture positive relationships between the health plan, providers, and practice managers. Directs and implements strategies relating to development and management of a provider network. Identifies gaps in network composition and services to assist network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational shortfalls and researching and remediating claims. The Senior Provider Relations Advocate serves as a strategic partner between the health plan and the provider community, driving provider satisfaction, operational excellence, education, issue resolution, and regulatory compliance. This role functions as a subject matter expert and trusted advisor for provider-facing operations, claims and payment support, provider engagement, and cross-functional collaboration. General Job Profile Generally, work is self-directed and not prescribed Works with less structured, more complex issues Serves as a resource to others Job Scope and Guidelines 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 Additional Scope and Guidelines Field and virtual meetings with providers and internal partners, supporting high-complexity, high-volume, high-spend provider groups or specialties If you are located in AZ, you will have the flexibility to work remotely* as you take on some tough challenges.

Develop provider relationships Resolve complex claims and operational issues Educate providers on policies and regulatory requirements Facilitate provider meetings and training Identify trends and process improvement opportunities Collaborate across claims, contracting, network, compliance, and operational teams Support network initiatives Mentor peers and serve as a resource 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.

5+ years of healthcare or managed care experience 3+ years of provider relations or provider network experience Medicare and/or Medicaid experience Experience working directly with physician groups or hospitals Solid