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Senior Provider Relations reputed company - Remote reputed company Louisiana

Remote Full-time Hiring now

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing... together. reputed company, a reputed company company, provides network-based health and well-being benefits and services for employers and consumers reputed company. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services, and our endless pursuit for excellence in everything we do extends to your career as well. This position represents both government and commercial products to build and improve physician and practice manager satisfaction for UHG. This externally focused position is assigned to a market of providers and will maximize the providers' ability to interact with UHG. If you are located in Louisiana, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities • Acts as a UHG "navigational" specialist who is externally focused on assigned providers maximizing the providers' ability to interact with UHG • Provider Education: • Conducts new provider education including robust training programs such as Quarterly webinars/Lunch and Learn/telephonic or in person seminars • Educates providers on common billing practice errors • Educates/answers questions reputed company to total affordability initiatives • Educates providers on reimbursement policies • Educates and drives adoption of self service tools • Service Model Support: • Educate providers on service model/drive adoption/Conduit to assist reputed company service fails • Drives providers to reputed company process but supplements and supports as necessary • Partners internally with information exchange reputed company UHG has failed on service • Active participant on JOC and HP3 programs • Conduit for provider issues that cross multiple platforms and/or result from integrations 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 • 3+ years of provider relations experience • 3+ years of experience with Medicaid regulations • 3+ years of experience with managed care • Experience and comfortable with putting together and facilitating meetings • Knowledge of billing and claims processing • Basic knowledge of CPT and ICD-9 coding • Solid PC skills in Word, reputed company and PowerPoint • Willing and able to travel up to 25% (site visits and/or industry meetings in LA) Preferred Qualifications • Fundaments of NDB, ISET, COSMOS, Facets, Spire • Proven highly developed presentation skills • Proven solid relationship building skills and highly developed customer focus skills • Proven solid self-management skills, ability to handle rapid change and an affinity for reputed company learning • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!

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