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Associate Provider Service Specialist - Plano, TX-313393: UnitedHealth Group

Job ID313393
Company NameUnitedHealth Group
Job CategoryTechnology; Healthcare
LocationPlano, TX
Position TypeFull-Time, Employee
Experience1-2 Years Experience
Date PostedOctober 19, 2009 (Reposted Nov 12)


Job Category:
Network Management

Reference Code:
313393

Position Type:
Full-time, Regular




UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?


Associate Provider Service Specialist - Plano, TX-313393

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Description

United Healthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Associate Provider Service Specialist - Plano, TX
Primary Responsibilities:
Position Description:
Positions in this function are accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs.
Primary Responsibilities:
  • Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers
  • Directs and implements strategies relating to the development and management of a provider network
  • Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs
  • May also be involved in identifying and remediating operational short-falls and researching and remediating claims
Regardless of your role at United Healthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Qualifications

Qualifications:

  • Minimum of 2 years of operations or customer service experience
  • Must be proficient with UNET
  • NICE and Cosmos are preferred
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.




Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



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