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Provider Relations Specialist - HCBS

UnitedHealthcare
Bonners Ferry, ID Full Time
POSTED ON 3/15/2025
AVAILABLE BEFORE 4/13/2025
Career Opportunities

As a Provider Relations Specialist - HCBS at UnitedHealthcare, you will have the opportunity to make a meaningful difference in the lives of our members. You will be responsible for building and maintaining strong relationships with healthcare providers, ensuring seamless claims processing and resolution of issues. If you have experience in provider relations and network management, we encourage you to apply.

About the Role

This is a dynamic and challenging role that requires the ability to think critically and work collaboratively with internal stakeholders and external partners. The successful candidate will have the flexibility to work remotely and will be part of a team committed to delivering exceptional care to our members.

Main Responsibilities:
  • Develop and maintain strong relationships with healthcare providers to ensure smooth claims processing and issue resolution.
  • Collaborate with Claims Subject Matter Experts to review claims and identify root cause issues.
  • Communicate effectively with providers and internal stakeholders to ensure timely resolution of issues.
  • Identify and implement process improvements to enhance the claims processing experience.

Qualifications:
  • Experience in provider relations and/or provider network management.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and as part of a team.

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