Manager of Provider Relations - Telecommute in MN

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM


Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

The Manager of Provider Relations Service & Advocacy serves as an operational leader by managing and overseeing staff engagement with strategic provider relationship to support the Advocate Service Model. This position is responsible for the daily oversight of service model failures within the market impacting provider satisfaction, collaborates with internal and external business partners to ensure staff performance on multiple market-aligned operations functions and communicating with market leadership on staff's provider engagement and performance. The scope of this role will expand as additional operations functions are aligned to market teams.

If you are located in MN, you will have the flexibility to telecommute* as you take on some tough challenges.

This is a field-based role with on-site visits and meetings with physician groups or hospital systems.

Primary Responsibilities:
  • Leads staff to ensure they are adequately trained on claims platforms to ensure adequate root cause claims analysis
  • Engages with Advocates on issue resolution to ensure issues are handled timely with a positive outcome
  • Supports Advocates with resources to escalate provider issues that require business partners engagement for resolution
  • Oversees and manages staff educational needs affecting staff and providers
  • Engages and monitors staff's engagement with the markets providers on operational visits, JOC, PIE's, Town Halls, Industry Meetings, and all other provider events to ensure providers are trained on UHG policies and processes to ensure practice administrative efficiency
  • Coordinates large events (Provider Information Expo's) with market team to ensure events delivers maximum value and collaboration with providers
  • Work effectively across the UHG Enterprise including collaborating with key business area (Maybe list key areas, UHN, Optum, Clinical, EDI technology) to resolved provider issues and improve outcomes proactively for providers
  • Serves as a primary contact and resolution lead for UHG executive provider escalations in their assigned market(s). Interact with key leaders from large health systems and provider organizations
  • Manages yearly staff evaluations and support staff with career development

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:
  • 5+ years of provider relations or network management experience
  • 3+ years of management experience
  • Intermediate level of proficiency with MS Excel

Preferred Qualifications:
  • Undergraduate or higher degree
  • 3+ years of project management expertise
  • Experience working in a physician's office and/or hospital in the billing department
  • Experience managing remote workers
  • Expert level of knowledge of claims / systems processes, contracting and reimbursement methodologies
  • Familiarity of the market dynamics and health systems / provider groups
  • Exceptional presentation skills
  • Solid analytical, critical reasoning and organizational skills
  • Good organization and planning skills with ability to work independently
  • Ability to prioritize and meet deadlines from multi-staff members within the department
  • Sound interpersonal skills with ability to interface effectively both externally and internally with a wide range of people including executives, physicians, office staff and other health plan staff
  • Ability to effectively drive results in a dynamic, matrixed environment with a high degree of organizational change, growth, and ambiguity
  • Lives in the state of MN

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

*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: Manager of Provider Relations, manager, management, leadership, Network Management, provider relations, claims resolution, Telecommute, Telecommuting, Telecommuter, Work From Home, Remote, Minnetonka, MN, Minnesota