Provider Advocate, Dental
About the position
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Provider Advocate, Dental role is pivotal in delivering support to address provider issues, including escalating concerns related to member placement. The position also involves providing advanced provider education for Georgia, ensuring effective communication and issue resolution. This role is critical to advancing the network's strategic goals, directly influencing network growth targets, Net Promoter Scores (NPS), and improving provider and member experiences. If you are located in the state of Georgia, you will have the flexibility to work remotely* as you take on some tough challenges.
- Responsibilities
- Supporting network gap remediation by recruiting providers at appropriate fee structures ,
- Assisting with fee renegotiations ,
- Managing projects as needed, specifically in GA, a dedicated Provider Advocate is essential to manage the Medicaid business ,
- Addressing state-level complaints ,
- Conducting provider education initiatives ,
- Representing the organization at Dental Association meetings ,
- Providing overall network support to meet access standards and metrics
- Requirements
- 2+ years of experience in a network management-related role, such as contracting, or provider relations ,
- Healthcare and/or dental industry experience ,
- Experience prospecting new and existing provider leads ,
- Demonstrated intermediate level of proficiency with MS Excel, Outlook, and Word ,
- Willing and able to travel 25% +/- within territory assigned or other market according to business needs ,
- Valid driver's license and access to reliable transportation ,
- Reside in Georgia
- Nice-to-haves
- Demonstrated exceptional sales presentation skills in a high-pressure environment ,
- Proven dental industry knowledge ,
- Dental Treatment Plan Coordinator/Dental Office Manager experience ,
- Proven knowledge of PPO and Medicare/Medicaid products ,
- Sales / Call environment experience ,
- Salesforce experience ,
- MS PowerPoint experience ,
- Proven knowledge of claims processing systems and guidelines
- Benefits
- Comprehensive benefits package ,
- Incentive and recognition programs ,
- Equity stock purchase ,
- 401k contribution
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