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Senior Provider Liaison

Company: UnitedHealth Group
Location: Minnetonka
Posted on: January 4, 2022

Job Description:

Senior Provider LiaisonAre you eager to make an impact on one of the most important and underserved issues in the US healthcare system? Naviguard, a fully owned UnitedHealth Group Ventures company, is on a mission to protect patients from surprise bills by building a revolutionary consumer protection business. This new business will be dedicated to helping patients understand and mitigate the unexpected financial risks they face. As an employee of this new business, you can expect to be a part of a dynamic organization that is fast-paced and driven by our vision to promote healthcare affordability and accountability nationwide.As a Senior Provider Liaison, you will be providing a critical function to a new business built from the ground up for the next several years. In this role, you will support the daily activities of the business, including direct engagement with healthcare providers to negotiate bills on behalf of consumers. This position requires a motivated self-starter with a blend of provider network experience, process knowledge, and strong analytical, and communication skills.You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. -Primary Responsibilities:

  • Negotiate billed amounts with healthcare providers, including complex and/or specialty specific cases, or their delegates on behalf of the consumers referred to the consumer protection team
  • Develop data-driven issue specific negotiation strategies to reduce surprise medical bills
  • Work closely with internal teams to understand the background information related to each negotiation opportunity and share outcomes and learnings
  • Closely track each opportunity, providing timely follow-up and issue closure with providers and consumers
  • In coordination with Manager, Provider Liaisons, evaluate market rates and provider billing patterns in order to establish and refine negotiation strategies
  • In coordination with Manager, Provider Liaisons, help develop the future tactics and negotiation strategies as we scale to build efficiencies and drive metric improvement
  • In coordination with Manager, Provider Liaisons, serve as SME to help onboard, train, and mentor new Provider Liaisons /Sr. Provider Liaisons team membersMay Be Called Upon To:
    • Support Provider Liaisons/other Sr. Provider Liaisons as first level of escalation for current casesDaily Practices:
      • Ability to listen skillfully, build rapport, and communicate effectively
      • 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 experienceYou'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:
        • Undergraduate degree or equivalent work experience
        • 3+ years working with a managed care organization or health insurer; in a network/contract management role, such as contracting, provider services, etc.
        • 2+ years of Provider experience, particularly in the areas of revenue cycle management or payer contracting
        • 2+ years of experience utilizing financial models and analysis in negotiating rates with providersPreferred Qualifications:
          • Excellent negotiation experience utilizing a data driven approach
          • Knowledge of claims processing systems and guidelines
          • Experience in other fields, such as insurance negotiation or underwriting
          • Proficiency with Windows PC applications; Word, Excel, Outlook and PowerPoint with the ability to navigate and learn new and complex computer system applications

Keywords: UnitedHealth Group, Minnetonka , Senior Provider Liaison, Other , Minnetonka, Minnesota

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