Sr Provider Relations Advocate -Bilingual Spanish Required - Tampa, FL and surrounding areas 2379307 | Tampa, Florida

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Touch device users, explore by touch or with swipe gestures. Go Explore remote jobs Pursue your passion and potential Sr Provider Relations Advocate -Bilingual Spanish Required - Tampa, FL and surrounding areas Tampa, Florida + Additional locations Apply Internal apply Bookmark job Jump to Our values Job description Benefits Testimonial Awards & recognitions Related content Caring. Connecting. Growing together. With these values to guide us, our people are committed to making a meaningful difference in the lives of those we are honored to serve. Integrity Compassion Inclusion Relationships Innovation Performance Back to nav Sr Provider Relations Advocate -Bilingual Spanish Required - Tampa, FL and surrounding areas Requisition number: 2379307 Job category: Network Management Primary location: Tampa, Florida Additional locations: Bradenton, Florida | Lakeland, Florida Date posted: 09/09/2026 Overtime status: Exempt Travel: Yes, 50 % of the Time Share this job Facebook X LinkedIn Email Travel required in Hillsborough, Polk, Manatee, Hardee and Highland Counties, FL At UnitedHealthcare, 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 better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The C&S Long Term Care Division requires this position for servicing the LTC provider network, to include provider contracting, credentialing and re-credentialing, conducting provider relations tasks, providing education, working in the provider portal and EVV (electronic visit verification), providing assistance with claims, ensuring network adequacy and closing gaps where necessary, along with network tracking and reporting. This associate works with the case management staff to assist with network needs for member benefits and services, to include working SCAs and PNRs (Single Case Agreements and Provider Network Requests). Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. SM The Sr Provider Relations Advocate services in the capacity of Network Account Manager for managing the Florida SMMC business (Medicaid/Long-Term Care). SR PRAs develops and maintains the provider network (ancillary groups and home and community based service providers), yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management and produces an affordable and predictable product for customers and business partners. SR PRAs evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with providers, and ensuring the network composition includes an appropriate distribution of Long-Term Care (LTC), Home & Community Based (HCBS)specialties. This position will be located in Florida in the network servicing region. The goals of our LTC network team are to manage and carry out the provider network requirements for the Health Plan with the State regulator. Provider Relations, Network and Contracting experience is a must, Microsoft Excel intermediate to advanced level is required due to the needs of network reporting. Microsoft Access basics is a plus. Prefer candidate to have Associate Degree or higher. Experience with provider credentialing applications, contracting and fee tables, claims knowledge, Spanish bilingual is required. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Job Scope and Guidelines: Generally work is self-directed and not prescribed Works with less structured, more complex issues Serves as a resource to others Assesses and interprets customer needs and requirements Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analyses Works with minimal guidance; seeks guidance on only the most complex tasks Translates concepts into practice Provides explanations and information to others on difficult issues Coaches, provides feedback, and guides others Acts as a resource for others with less experience In this role you will be expected to: Apply basic knowledge of provider network functions, ability to work in a fast-paced environment Intermediate skill level in Microsoft programs (Teams, Outlook, Word, Excel, PowerPoint) and spreadsheet management. Microsoft Access knowledge is a plus Ability to take initiative and use problem-solving skills for issue resolution Depend minimally on others for instruction, guidance or direction. Must be attentive to detail, work with flexibility, and have the capability of multi-tasking to meet deadlines and deliverables Possess knowledge in Medicaid and Long Term Care (Home and Community Based) programs Must have good communication skills; and the ability to build and retain relationships with Provider/Ancillary providers Experience working with Health Plan contracts in compliance with company contract templates to ensure the network composition includes an appropriate distribution of provider specialties Display professional work ethics in a structured work environment Team environment aptitude, work in partnership with Sr Provider Relations Advocates and interact well with staff in cross-segment departments Perform other duties as required 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: 5+ years working in a network management-related role, such as contracting or provider services 3+ years of experience in ancillary/facility/group credentialing, to include knowledge of credentialing requirements for the State of Florida 3+ years working with provider/group Medicaid/Long Term Care contracts, claims, credentialing 3+ years of experience in performing network adequacy analysis Intermediate level of knowledge of Medicaid and Long Term Care reimbursement methodologies Intermediate level in Microsoft Word, Excel, PowerPoint, Access Reside in the Tampa SMMC Region D geographic area Travel frequently throughout the Tampa Region or provider on-site visits. (Hillsborough, Polk, Manatee, Hardee, Highland Counties) English-Spanish fluency without translation Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others Ability to work in a fast-pace ever-changing environment Solid interpersonal skills, establishing rapport and working well with others Solid customer service skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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 experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply Internal apply Bookmark job Back to nav Benefits Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well. Life Resources and support to focus on what matters most to you, in every facet of your life. Emotional Education, tools and resources to help you reduce and manage stress, build resilience and more. Physical Health plans and other coverage to support wellness for you and your loved ones. Financial Benefits for today and to help you plan for the future, including your retirement. Learn more Back to nav Previous slide The most motivating aspect of my role is to help people live healthier lives. If roles were reversed, I'd want someone I could trust to be there in the moments that matter. Orrin K. Director of Health Plan Operations – Hawaii Making a difference is not about the big things or grand gestures; it's about impacting one person at a time even the smallest way. If I know I've impacted just one person, with a smile, or a kind word, or even a helping hand, then I know I've made a difference. Amaris A. Program Integrity Manager Knowing the company supports both professional and personal growth — like furthering our education — makes me incredibly proud. Jessyca G. Senior Health Advocate The most motivating aspect of my role is to help people live healthier lives. If roles were reversed, I'd want someone I could trust to be there in the moments that matter. Orrin K. Director of Health Plan Operations – Hawaii Making a difference is not about the big things or grand gestures; it's about impacting one person at a time even the smallest way. If I know I've impacted just one person, with a smile, or a kind word, or even a helping hand, then I know I've made a difference. Amaris A. Program Integrity Manager Knowing the company supports both professional and personal growth — like furthering our education — makes me incredibly proud. Jessyca G. Senior Health Advocate The most motivating aspect of my role is to help people live healthier lives. If roles were reversed, I'd want someone I could trust to be there in the moments that matter. Orrin K. Director of Health Plan Operations – Hawaii Next slide Go to slide 1 Go to slide 2 Go to slide 3 Back to nav We’re honored to be recognized for our exceptional work culture Back to nav Discover our family of businesses See how we’re structured to help build a modern, high-performing health system. Learn more Explore our hiring process Learn what to expect when you pursue an opportunity with us. Learn more Committed to sustainability Take a look at all the ways we’re working for a healthier, more sustainable future. 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