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UnitedHealth Group Sr. Provider Relations Representative - Telecommute in Central Region in Iowa

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Sr. Provider Relations Representative role with UnitedHealth Group will call on your knowledge, energy and commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. You experience the backing and opportunities you'd expect from a Fortune 7 leader.

The Dental Sr. Provider Relations Rep is responsible for a full range of provider relations and service interactions with directly contracted dental providers, including but not limited to locating a dentist for a member, provider education, re-contracting, contract remediation, and network retention support. This role is responsible for developing, enhancing and delivering provider education programs, addressing escalated high-level complex issues, and communicating resolution in a professional well written manner. The role also will audit large group practices to ensure all associates are appropriately under contract. This role will cover an assigned territory and will focus on Medicare and Commercial lines of business.

We are looking for a self-motivator who is comfortable working independently, while enjoying the cost savings and of a telecommuter position. You’ll be rewarded and recognized for your performance in a challenging environment where you’ll be given support and direction for success.

If you are located in IA, IL, IN, KS, KY, MI, MN, MO, ND, NE, OH, OK, SD, TX or WI, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Contribute to design and implementation of programs that build positive relationships between the dental plan, providers, practice managers, and internal stake holders

  • Address high-level escalated issues and communicate resolution to stakeholders

  • Large dental practice contract maintenance

  • Network maintenance, education, and ensuring solid provider relationships

  • Retention support

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:

  • 1+ year experience in a network management related role, such as contracting, provider relations or provider services and/or experience working in a dental office

  • Intermediate Excel Skill set with ability to manipulate a large volume of data

  • Proficiency with MS Word

  • Reside within an assigned service area

Preferred Qualifications:

  • Undergraduate degree or equivalent experience

  • Provider negotiation and contracting experience

  • Knowledge of Dental products/providers

  • Knowledge of claim processing systems and guidelines

  • Excellent verbal and written communication skills

  • Strong interpersonal skills, ability to establish rapport and work well with others

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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

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