Network Engagement Manager

UnitedHealth Group; Cypress, Northern (CA, KY); Hybrid; Confidential; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a remote role to support end-to-end provider claims, enhance call quality, and help design programs that strengthen relationships among the health plan, providers, and practice managers. The position emphasizes network development, external training programs, and identifying network gaps.

A High School Diploma or GED and 2+ years in managed care are required. Telecommuting policy applies.

Qualifications

• High School Diploma or GED required.
• 2+ years of managed care or medical insurance experience.
• 1+ years of experience in claims, customer service or provider support role.

Responsibilities

• Assist in end-to-end provider claims and help enhance call quality.
• Assist in design and implementation of programs that build relationships among 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.

Skills

Telephone etiquette

Customer service

Provider support

Education

High School Diploma or GED

Tools

Excel

Word

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to startCaring. Connecting. Growing together.

Schedule:

Monday to Friday, 8 AM-5 PM, PST

Location:

Remote - Nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Assist in end-to-end provider claims and help enhance call quality
• Assist in the 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 be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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/GED
• 2+ years of managed care or medical insurance experience
• 1+ years of experience in claims, customer service or provider support role
• Intermediate level of proficiency with oral communication skills including telephone etiquette
• Intermediate level of proficiency with MS programs including Excel and Word

*All Telecommuters 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 hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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