Remote Provider Relations Advocate

UnitedHealth Group; Boston (MA); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group's Optum Home & Community Care is seeking a Provider Relations Advocate to strengthen partnerships with skilled nursing facilities and long-term care providers across Massachusetts. You will help resolve claims, billing, and authorization issues while improving the provider experience and ensuring smooth operations.

The role targets early to mid-career professionals with MassHealth knowledge; the position offers a remote work option within Massachusetts, requires 1+ year

Qualifications

• 1+ years of experience working within a Skilled Nursing Facility (SNF), Nursing Facility, Long-Term Care (LTC), post-acute care setting, or other provider organization serving senior populations.
• 1+ years of experience supporting provider operations, provider relations, billing, reimbursement, admissions, utilization review, authorization, care coordination, or related functions.
• Proven working knowledge of Massachusetts Senior Care Options (SCO) and the coordination of Medicare and MassHealth (Medicaid) benefits.
• Experience collaborating with facility leadership, business office staff, billing teams, clinical staff, and external stakeholders.

Responsibilities

• Serve as a trusted resource to skilled nursing facilities and long-term care providers, helping navigate claims, billing, authorization, and operational processes
• Experience working directly in a skilled nursing facility, nursing facility, or long-term care environment and possess a solid understanding of Massachusetts Senior Care Options (SCO), including Medicare and MassHealth (Medicaid) policies and regulations
• Experience with facility billing, prior authorization workflows, claims management, reimbursement processes, and nursing facility regulations is highly desired
• The successful candidate will understand the day-to-day operational needs of nursing facilities and be able to build solid provider relationships while supporting issue resolution and provider education initiatives

Skills

SNF/Nursing Facility experience

Provider relations

Billing & reimbursement

Care coordination

Utilization review

Driver's license

Education

High school diploma/GED

Tools

Microsoft Office

Job description

UnitedHealth Group's Optum Home & Community Care is seeking a Provider Relations Advocate to strengthen partnerships with skilled nursing facilities and long-term care providers across Massachusetts. You will help resolve claims, billing, and authorization issues while improving the provider experience and ensuring smooth operations.

The role targets early to mid-career professionals with MassHealth knowledge; the position offers a remote work option within Massachusetts, requires 1+ year