Remote Senior Provider Relations Advocate: Resolve & Advocate

Taleo; Eden Prairie (MN); Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Remote work flexibility

Job summary

UnitedHealth Group, through OptumCare, is seeking a Senior Provider Relations Advocate for remote work across the United States. The role focuses on managing complex provider and operational escalations, researching root causes, and driving process improvements to enhance the provider experience.

The ideal candidate has a solid claims background, strong analytical and communication skills, and the ability to collaborate with cross-functional teams to resolve issues efficiently.

Qualifications

• 3+ years of experience in healthcare operations, provider relations, claims, or related field.
• Experience researching and resolving complex provider issues.
• Strong analytical and problem-solving skills.

Responsibilities

• Manage end-to-end resolution of complex provider and operational escalations.
• Assess issue severity, business impact, urgency, and required actions.
• Investigate and resolve escalated issues involving claims, payment, prior authorization, data, and eligibility.
• Coordinate across multiple business areas to facilitate timely resolution.
• Maintain ownership through intake to closure of issues.
• Research and root-cause analysis to identify trends and systemic barriers.
• Provide provider advocacy and build relationships with internal stakeholders.
• Collaborate with Operations, Network Management, Claims, Payment Integrity, and Payer organizations.

Skills

Claims analysis

Excel

Problem solving

Verbal & written communication

Education

High school diploma or equivalent

Tools

Facets system

Microsoft Office

Job description

UnitedHealth Group, through OptumCare, is seeking a Senior Provider Relations Advocate for remote work across the United States. The role focuses on managing complex provider and operational escalations, researching root causes, and driving process improvements to enhance the provider experience.

The ideal candidate has a solid claims background, strong analytical and communication skills, and the ability to collaborate with cross-functional teams to resolve issues efficiently.