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The Dental Provider Relations Advocate manages provider relationships, conducts recruitment, and ensures network adequacy for dental programs. They also act as a liaison for contracting, claims resolution, and provider education within their assigned territory.
Requirements
Candidates must have at least one year of experience in network management or dental office administration and knowledge of Medicaid/Medicare reimbursement methodologies. Proficiency in MS Excel and the ability to travel 20-25% of the time for provider visits are also required.
Full job description
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best.This Dental Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.
The Dental Provider Relations Advocate is responsible for the full range of provider relations and service interactions within UnitedHealth Group, including being the face of UnitedHealthcare (UHC) Dental, in addition to Healthplex and its clients, in the field with our providers and the liaison for provider contracting questions, claim and call quality, ease of use of provider web portal, future service enhancements and training & development of provider education programs. The role may be involved in identifying and remediating operation short-falls and researching and resolving complex claims and claims issues. The role also ensures the network composition includes an appropriate distribution of provider specialties, including recruitment and contracting as needed. This role may involve Commercial, Medicare and Medicaid programs.
This position will cover an assigned territory in NY but may not be limited to NY.The individual selected should live within/or proximal to Upstate NY to allow for provider visitation.
You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
FQHC relationship owner
Provider relationship manager
Targeted Provider recruitment
Provider education
Provider at risk escalation resource
Member escalation contact
Network adequacy manager
Special project manager
Market expert
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
1+ years of experience in a network management related role, such as contracting, provider relations or provider services and/or experience working in a dental office in a management capacity
1+ years of experience with Medicaid and Medicare reimbursement methodology (ie. APG, PPS, FFS, Capitation)
Basic level of proficiency with MS Excel
Travel 20-25%25 which may include provider visits, conferences, meetings, etc. in upstate New York
Access to reliable transport and valid US driver's license
Preferred Qualifications:
Knowledge of PPO reimbursement methodologies
Provider contracting experience
Knowledge of Dental products/providers
Knowledge of claim processing systems and guidelines
Excellent verbal and written communication skills
Strong interpersonal skills, ability to establish rapport and work well with others
Undergraduate degree or equivalent experience
Strong customer service skills
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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 experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.
Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care.
We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care.
At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities.
Click below to search careers or join our social communities:
• Search & apply for careers at careers.unitedhealthgroup.com/
• Follow us on Twitter at twitter.com/UnitedHealthGrp
• Follow and like us on Facebook at facebook.com/unitedhealthgroup
• Follow us on Instagram at instagram.com/unitedhealthgroup
More about UnitedHealth Group can be found at unitedhealthgroup.com/
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How many Management & Leadership jobs are open in Albany, NY right now?
There are currently 344 open management & leadership positions in Albany, NY listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Management & Leadership roles in Albany, NY?
Companies currently hiring include Albany Medical Center, St. Peter's Health Partners, Broadview Federal Credit Union, Consigli Construction Co., Inc., ARCO a Family of Construction Companies, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Management & Leadership jobs in Albany, NY?
Yes — 58 of the 344 open management & leadership positions offer remote or hybrid work (13 remote, 45 hybrid).
How do I apply for Management & Leadership jobs in Albany, NY?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.