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Provider Relations Representative - West Chester, OH-314931: UnitedHealth Group

Job ID314931
Company NameUnitedHealth Group
Job CategoryTechnology; Healthcare
LocationWest Chester, OH
Position TypeFull-Time, Employee
ExperienceUnspecified
Date PostedOctober 27, 2009 (Reposted Nov 19)


Job Category:
Network Management

Reference Code:
314931

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?


Provider Relations Representative - West Chester, OH-314931

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

Ovations 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.
Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50. Consider the influence you can have on the quality of care for millions of people. Now, enhance that success with enthusiasm you can really feel.
That's how it is at Ovations. Everyday, we're collaborating to improve the health and well being of the fastest growing segment of our nation's population. And we're doing it with an intense amount of dedication.
Provider Relations Representative - West Chester, OH
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 and 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
Here, you will discover a culture that grows through challenge. That evolves by being flexible. That succeeds by staying true to our mission to make health care work effectively and efficiently for seniors. Put your best to work for us, and discover extraordinary opportunities for growth.

Qualifications

Qualifications:
  • Intermediate skills with Word and Excel
  • General office experience is required
  • Previous healthcare experience is a must
  • Bachelors degree required
  • Sales experience is a plus
  • Good attention to detail
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. All 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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