[Hiring] Provider Relations Advocate @UnitedHealth Group

Role Description

The Provider Relations Advocate is responsible for the full range of provider relations and service interactions within Optum, including:

• End-to-end provider issue resolution
• Ease of use of provider portal
• Future service enhancements
• Training & development of external provider education programs

Provider Relations Advocates socialize and implement programs to build and nurture positive relationships between the health plan, providers (professional and facilities, etc.) and practice managers. Responsibilities may also include the project management of complex issue resolution involving cross-functional teams.

If you live within a commutable distance to Boston, MA, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Data analysis from a trending perspective and utilizing data to inform proactive provider education and outreach
• Engagement with internal resources to project manage provider issue resolution (claims, credentialing, provider set-up)
• Provider education and outreach regarding policies, processes, and ease of use of our provider self-service portal, provider express
• Delivery of external provider training and education programs either in-person, virtually or through larger external provider events
• Build and nurture trusted relationships with high touch and territorial providers in assigned counties for all LOB

Qualifications

• High school diploma/GED
• 2+ years of provider relations and/or provider network experience
• Intermediate level of proficiency in billing / coding / claims analysis; claim issue resolution
• Intermediate level of proficiency with MS Excel, Tableau, Smartsheet, and other data tools
• Reside in the state of Massachusetts
• Valid driver’s license

Requirements

• Bachelor’s degree from an accredited institution (preferred)
• 2+ years of experience with Medicare and Medicaid regulations (preferred)
• 2+ years presentation experience (preferred)
• Experience with providers in this region (preferred)
• Provider Relations experience at the professional or facility level (preferred)

Benefits

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

The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.