Provider Services Representative

Optum; New York (NY); Remote; USD 25,000 - 44,000; Full time

Job summary

Optum is hiring to support provider networks and help improve care coordination. The role focuses on customer service, provider onboarding, and building strong relationships with health plans and practice managers.

You will contribute to outbound data collection and reporting while working remotely across the United States. Hours are Monday–Friday 8am–5pm local time, with pay based on local markets and experience.

Qualifications

• High School Diploma or GED required.
• 3+ years of experience in customer service or provider support recommended.
• Proficiency with MS Excel and Word expected.
• Telecommuter policy adherence for remote workers preferred.
• MS Office proficiency (Excel/Word) useful for data tasks.

Responsibilities

• Assist in end-to-end provider onboarding and improve call quality.
• Design and implement programs that strengthen relationships between health plan, providers and managers.
• Support development and management of provider networks.
• Help implement training and education programs for external providers.
• Identify gaps in network services to assist contracting and development teams.

Skills

Customer service

Provider support

MS Excel

MS Word

Education

High School Diploma / GED

3+ years of customer service/provider support

Tools

MS Office Suite

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM

It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to become a part of the team at UnitedHealth Group. We're driving even higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your knowledge of customer service to help create strong relationships with the providers in our networks. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

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

Hours: Monday-Friday 8am-5pm

Primary Responsibilities

• Assist in end-to-end provider on-boarding 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

Taking a giant leap step forward comes with great challenge. You'll ensure provider service quality by making outbound calls to obtain data and verify information with providers as well as perform analysis and develop reports that help clarify operational issues and opportunities.

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/GED OR 3+ years of experience in a customer service or provider support role
• 1+ year experience in a customer service or provider support role
• Intermediate level of proficiency with MS programs including Excel and Word

Preferred Qualifications

• 2+ years of managed care or medical insurance experience
• 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 $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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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