Provider reputed company - Tribal Operations - National Remote

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours / week), Monday - Friday. Employees are required to have flexibility to work any shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. It may be necessary, given the business need, to work occasional overtime. You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities • Confirm contract compliance to meet the needs of the reputed company Care contract • Experience working with providers/facilities to conduct advocacy actives with ITU’s • Work with cross-functional teams reputed company reputed company including but not limited to behavioral health, physical health, dental and vision • Work with internal groups to identify, understand, and / OR improve internal tools, resources, systems, and capabilities that can maximize provider and member experience • Analyze data to determine root cause of issue (e.g., identify trends and patterns; identify outliers and anomalies) and / OR escalate problem to appropriate group for further analysis as necessary Included in this role is the full range of provider relations and service interactions reputed company UHG, including working on end-to-end problem resolution. Identifies network gaps and assists in the development and implementation of strategies to fill these gaps. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications • High School Diploma / GED OR equivalent work experience • Must be 18 years of age OR older • 2+ years of experience with claims processing in Facets • Experience with Medicaid OR previous Managed Care Contract (MCO) • Experience with reputed company office programs including reputed company Word (creating and editing documents), reputed company reputed company (creating spreadsheets) and reputed company Outlook (managing e-mail and calendar) • Experience with communicating clearly and professionally with Providers • Ability to travel locally up to 10% of the time • Ability to work between the hours of 8:00 AM - 5:00 PM CST from Monday - Friday including the flexibility to work occasional overtime based on business need Preferred Qualifications • Experience with Tribal providers (ITU) • Speak one OR more Native American languages • Time management, organizational, and prioritization skills and ability to balance multiple priorities • Experience in Provider demographic loads • Reside reputed company New Mexico Telecommuting Requirements • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. 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 reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!