For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start
Caring. Connecting. Growing together.
This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy, and your commitment to making health care work more effectively for more people. We are building better and more effective provider networks every day. In this role you will use your solid customer service skills and knowledge of insurance to serve as an advocate for providers in our networks. As you do, you will discover the impact you make, the resources, and opportunities that you would expect from a Fortune 5 leader.
If you are located in the state of Hawaii, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
- Support development and management of provider networks
- Assist in the monitoring and the annual review process of the Individual & Family Plan (IFP) Exchange states
- Identify gaps in network composition and services to assist network contracting and development teams
- Help implement training and development of external providers through education programs
- Assist in end-to-end provider claims resolution
- Assist in efforts to enhance ease of use of physician 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
Are you ready for a challenge? You will be part of a performance driven, fast paced organization that is serving multiple markets. You will be charged with educating and building relationships with providers to evolve ongoing processes and programs.
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 or equivalent work experience
- 4+ years of health care/managed care experience
- 2+ years of provider relations and/or provider network experience
- 1+ years of experience with Medicare and Medicaid regulations
- Intermediate level of proficiency in claims processing and issue resolution
- Proficiency with MS Word, Excel, PowerPoint, and Access
Preferred Qualification
- Experience leading healthcare projects
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Hawaii Residents Only: The salary range for this role is $58,300 to $114,300 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
