Provider Relations Representative - New initiative! (Telecommuting opportunity in New Mexico!)

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.Ovations Enterprise Services provides a variety of services, including Claims Processing and Customer Care, to all Ovations organizations. Ovations is a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans ages 50 and older.   New Mexico announces a new statewide, coordinated long-term care program in which Evercare will be one of two health plans serving close to 40,000 Medicaid recipients. Evercare is a premier clinical care management organization, and collaborates with federal and state leaders to create new programs to serve this population. This program is the culmination of years of planning with the State of New Mexico, and we look forward to building partnerships here with our new members, providers and community organizations.   We’re looking for an individual with experience in provider relations and claims to join our new team while working from home in the Northwest Region and servicing providers in the Northwest Region of the state. As the Provider Relations Representative, you would focus on building relationships and educating providers on our Medicaid program. Your time would be spent both in the field and in our Albuquerque office. This is an excellent opportunity to get in on the ground floor of a new and growing area of our Fortune 50 organization. Enjoy some of the best perks in the industry; apply today.     Key responsibilities of the Provider Relations Representative include:Interfacing with the provider community to identify education needs Researching any questions providers have regarding claims, billing and contracts Visiting providers throughout New Mexico Building relationships and providing a high level of customer service Educating providers on our program Running reports to identify trends Requirements include:Experience dealing with the provider community and provider relations Experience with claims systems and claims issue research Proficiency in Microsoft Office suite Excellent verbal and written communication skills In addition, ideal assets include:Experience working in the Medicaid environment A Bachelor’s degreeUnitedHealth Group offers a full range of comprehensive benefits to full-time and part-time employees, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.   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.    Keywords: provider relations, community outreach, Medicaid, claims, claims systems, providers, provider relations rep, managed care, mainframe, healthcare, health care, insurance, health insurance