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Optum

Dental Provider Advocate

Posted 45 Minutes Ago
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In-Office
Albany, NY
61K-107K Annually
Junior
In-Office
Albany, NY
61K-107K Annually
Junior
Manages dental provider relationships, recruitment, education, contracting inquiries, network adequacy, claims issue resolution, escalations, and special projects across an assigned Upstate New York territory. Serves as a liaison between providers, members, and UnitedHealthcare Dental while supporting provider portal improvements, service quality, and network composition. The role includes field provider visitation and requires U.S. citizenship, technical support experience, and eligibility for a security clearance.
The summary above was generated by AI
Requisition Number: 2392175
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 Dental Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.
The Dental Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including being the face of UnitedHealthcare (UHC) Dental, in addition to Healthplex and its clients, in the field with our providers and the liaison for provider contracting questions, claim and call quality, ease of use of provider web portal, future service enhancements and training & development of provider education programs. The role may be involved in identifying and remediating operation short-falls and researching and resolving complex claims and claims issues. The role also ensures the network composition includes an appropriate distribution of provider specialties, including recruitment and contracting as needed. This role may involve Commercial, Medicare and Medicaid programs.
This position will cover an assigned territory in NY but may not be limited to NY. The individual selected should live within/or proximal to Upstate NY to allow for provider visitation.
Primary Responsibilities:
  • FQHC relationship owner
  • Provider relationship manager
  • Targeted Provider recruitment
  • Provider education
  • Provider at risk escalation resource
  • Member escalation contact
  • Network adequacy manager
  • Special project manager
  • Market expert

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • High School Diploma/GED
  • 1+ years of experience working in an IT field
  • 6+ months of experience with Microsoft Office products to assist end users with technical assistance for hardware and software
  • Ability to obtain favorable adjudication following the submission of Defense Health Agency eQuip Form SF86
  • Ability and willingness to work in these shifts: Monday to Friday - 9 am to 6 pm CST
  • Typing speed: 50-70 WPM for standard technical support
  • United States citizenship is required for this position
  • Must be able to obtain and maintain a suitability or determination of eligibility for a Confidential/Secret or Top-Secret security clearance

Preferred Qualifications:
  • Associates degree with 6 months of experience in a desktop support environment

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,700 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
#RPO, #RED

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