Senior Provider Relations Representative
UnitedHealth Group Β· San Diego, California, United States
About this role
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Connecting. Growing together. Primary liaison between the client and MSO for the delivery of Managed Care Administrative Services
Responsible for concise and complete explanations of all phases of services from each MSO Department to the assigned IPA groups and resolving issues between them. Also responsible for identifying process improvement opportunities and supporting long-term relationship management strategies with provider groups. Primary Responsibilities: Coordinates and conducts meetings within assigned territory
Maintains official copies of minutes, agendas and credentialing signatures at the MSO's office. Sends announcements regarding scheduled meetings, makes phone calls to verify attendance (quorum), orders refreshments and sets up/breaks down the meetings. Prepares, or directs the preparation of, agendas, handouts and meeting minutes
Represents management at all meetings with clients in an appropriate and professional manner Serves as a resource for internal referrals on provider issues. Supports the Client Services Department in resolving provider issues and responds to training needs identified by other MSO departments such as Claims and Medical Management. Interfaces with Health Plan staff as required
Effectively problem solves issues as identified; documents all contact with providers/office staff in the provider's file. Monitors client needs to evaluate satisfaction levels, and identifies trends and areas requiring improvement. Identifies recurring issues and collaborates with teams to refine training content and improve cross-departmental processes Manages the interface between providers, the MSO and the health plans
Remains accessible to providers and their office staff. Leaves specific instructions about how to be reached within and outside
Apply for this role on UnitedHealth Groupβs official careers site.