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Senior Provider Liaison

Company: UnitedHealth Group
Location: Minnetonka
Posted on: August 6, 2022

Job Description:

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)
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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.
Primary Responsibilities:
Engages directly with healthcare providers or their delegates to negotiate reimbursement amounts on behalf of the consumers referred to Naviguard, including complex and/or specialty specific cases
Research claims, reviews Out-of-Network (OON) payment history, reconciles medical bills and related documentation, and summarizes information to develop data-driven and issue-specific negotiation strategies to reduce medical bills
Works closely with internal teams to understand the background information related to each negotiation and share outcomes and learnings
Closely tracks and documents each negotiation, providing timely follow-up and issue closure with providers and consumers
Supports Provider Liaisons and/or other Sr. Provider Liaisons as first level of escalation for cases; Identifies potential provider abrasion and/or additional escalations
Acts as mentor to Provider Liaisons and/or other Sr. Provider Liaisons through coaching and acting as a resource for others with less experience by providing explanations and information on difficult issues
In coordination with Manager, evaluates market rates and provider billing patterns to establish and refine negotiation strategies related to complex and/or specialty specific cases
In coordination with Manager, participates in working groups to assist the development of future tools, tactics, and negotiation strategies to build operational efficiencies and drive metric improvement
In coordination with Manager, serves as a Subject Matter Expert (SME) to help onboard and train Provider Liaisons and/or Sr. Provider Liaisons
Performs other duties as assigned
Daily 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 complex problems and/or conducts complex analyses
Works with minimal guidance; seeks guidance on only the most complex tasks
Translates concepts into practice
Stays current with all systems communications (i.e., chatters, email, etc.)
Remains current on all relevant trainings and operational updates
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:
Undergraduate degree or 4+ years of equivalent experience working in a professional position and/or office/remote environment
5+ years of experience -working with a healthcare organization, provider and/or billing office, or similar industry in a role equivalent to network/contract management, revenue cycle, provider services, etc.
3+ years of negotiation experience with proven ability to utilize a data-driven approach
Intermediate level of proficiency with Windows PC applications including Word, Excel, Outlook, and PowerPoint, with the ability to navigate and learn new and complex computer system applications
Preferred Qualifications:
2+ years of experience utilizing financial models and analysis in negotiating rates with healthcare providers and billing agencies
Knowledge of medical billing and coding, claims processing systems, and related guidelines
Experience in other fields, such as insurance negotiation or underwriting
To protect the health and safety of our workforce, patients, and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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 wherever 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.

Colorado, Connecticut or Nevada Residents Only: -The salary range for Colorado residents is $82,100 to $146,900. The salary range for Connecticut / Nevada residents is $90,500 to $161,600. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

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.

Keywords: United Health Group, UHG, Naviguard, Senior Provider Liaison, Remote Nationwide #RPO #GREEN

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

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