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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Tribal Liaison builds partnerships, bridges communication and offer solutions through a culturally appropriate delivery system for Native American Communities statewide. They work with Tribal partners and community providers to develop and facilitate health services that are culturally responsive. In addition, they work with internal teams within the New Mexico market, particularly around topics of provider adequacy for the AI/AN managed care population, culturally appropriate care, coordination for members, adherence to Tribal sovereignty, appropriate protocols and regulations and collaboration on cultural humility. This is a New Mexico based position.
If you are located in New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Serve as the primary point of contact for Tribes and external agency Offices of Tribal Affairs, Pueblos, Navajo Nation and Apache Tribes, NM I/T/U’s, Albuquerque Area IHS, Navajo Area IHS involving the triaging and assisting with inquiries to internal departments
- Provide external communication of UnitedHealthcare processes and operations, by facilitating meetings between Tribal Partners and internal staff and representing the company at meetings, forums and conferences (e.g., HCA, Regional & Statewide Tribal, Individual Tribal)
- Engage contracting and clinical operations in creation of tribal/uhc agreements for delegation of care coordination, case management, transportation and varied services depending on tribal entity
- Coordinate with internal Operations and Tribal Provider team to maintain current and accurate I/T/U Facilities/providers loaded in system
- Plan and work with provider services staff to expand and enhance physical and behavioral health services for AI/AN members
- Serve as point of contact with Tribal entities and staff on AI/AN issues and concerns
- Advocate for AI/AN enrollees with case management and member services staff
- Work with Tribal Partners to implement new and modified benefits or protocols for Indian healthcare providers (IHCP), coordinate education to clinical staff and members
- Attend training conducted by IHCP, American Indian Health Commission (AIHC), OHCA and Indian Policy Advisory Committee on topics related to AI/AN health disparities, health care delivery systems, government-to-government relationships, federal and state laws and regulations, AI/AN contract provisions and matters specific to IHCPs
- Interface with the New Mexico Office of Tribal Affairs to represent UnitedHealthcare and advise on managed care initiatives regarding Tribal partners
- Participate in internal Operational meetings and administration of Tribal providers and benefits
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:
- 3+ Tribal claims operations and I/T/U claims payment experience
- 1+ years in tribal community outreach, tribal engagement, or social work experience
- Staff management/ oversight experience as a Supervisor, Manager, SME, Lead and/or Consultant
- Demonstrated knowledge of tribal communities, cultural background of Native American communities
- Proficiency in MS Office (Outlook, Word, Excel, PowerPoint)
- Proven ability to One Native American spoken language
- Willing and able to travel 25-30% of the time depending on business need within the contiguous counties in assigned territory
- Reside in New Mexico or willing to relocate
Preferred Qualifications:
- Undergraduate degree or higher
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
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