Job Description: Reporting directly to the NC Community (Health) Plan supporting Medicaid and Dual Special Needs programs (DSNP), this Sr. Health Plan Provider Liaison is both self-directed and works as part of a health plan team to liaison with providers across the state, resolving complex operational issues and concerns, as well as supporting the health plan driving highest Net Promotor Score (NPS) and provider satisfaction within the market. Job Responsibilities: May attend and support meetings, via in-person, telephonic and/or web-based interactions, with individual providers and in group settings, such as Town Hall meetings, Joint Operating Committee meetings, Provider Information Expos or Mobile Service Center meetings Conduct live, telephonic and/or web-based meetings with providers to review findings of identified practice gaps by discuss opportunities for UHG and/or the provider to implement changes in the practice to improve the revenue cycle experience, and track progress of each agreed initiative Work across the enterprise to design and implement solutions to identified trend issues, through reporting, improvements to processing instructions, or other innovations Use appropriate tracking tools and service models to escalate service issues Triage and determine root cause through researching data and claims systems for escalated claims issues impacting a provider’s Accounts Receivable Work directly with providers via telephone, video conference and in person, building great relationships and demonstrating the mission and values of our organization working directly with our provider partners Interact with internal network teams and other operational areas where necessary for contract intent clarification, compliance questions, etc. Establish proactive reporting and other initiatives to identify and act on opportunities to minimize provider abrasion while solutions are being implemented Job Requirements: Superior customer service skills with critical thinking skills and confidence to evaluate and develop solutions Ability to prioritize tasks and work independently and effectively under time constraints Ability to work within multiple complex technology and enterprise-wide systems Solid analytical, critical reasoning and organizational skills Excellent verbal and written communication skills with the ability to communicate effectively with external providers Ability to become a trusted advisor for assigned Provider Accounts through demonstration of our Cultural Values of Integrity, Compassion, Relationships, Innovation, and Performance Job Details: Company: United Healthcare Vacancy Type: Full Time Job Location: High Point, NC, US Application Deadline: N/A Apply Here getyourvacancy.com
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