[Hiring] Senior Provider Relations Representative @UnitedHealth Group

Role Description

The Provider Relations Advocate role with Optum Behavioral Health will call on your knowledge, energy, and commitment to making health care work more effectively for more people. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for national providers in our networks.

• Assist in end-to-end provider claims and help enhance call quality
• Assist in efforts to enhance ease of use of provider portal and future services enhancements
• Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers, and practice managers
• Support development and management of provider networks
• Help implement training and development of external providers through education programs
• Identify gaps in network composition and services to assist network contracting and development teams

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Qualifications

• High school diploma or equivalent work experience
• 3+ years of health care/managed care experience
• 3+ years of provider relations and/or provider network experience
• Experience presenting group presentations and training
• Experience with Medicare and Medicaid regulations
• Proven understanding of healthcare systems billing
• Advanced level of proficiency in claims processing and issue resolution
• Intermediate level of proficiency with Microsoft Office applications
• Proven excellent verbal, written, and interpersonal skills required, including experience drafting correspondence and preparing meeting documentation
• Solid relationship management skills
• Proven excellent analytical and problem-solving skills with effective follow-through

Requirements

• *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Company Description

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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

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.