Senior Provider Relations Rep - Remote

UnitedHealth Group; Minnetonka (MN); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group is seeking a Provider Relations Advocate to support national provider networks and improve claims processes. The role focuses on customer service excellence, network development, and training delivery across markets.

You'll operate remotely from anywhere in the U.S., engaging with providers and internal teams to enhance network effectiveness and service quality while aligning with the company’s mission to improve health outcomes.

Qualifications

• 3+ years of health care/managed care experience.
• 3+ years of provider relations and/or provider network experience.
• Experience presenting group presentations and training.
• Experience with Medicare and Medicaid regulations.
• Proven understanding of healthcare systems billing.
• Advanced proficiency in claims processing and issue resolution.
• Proficient in Microsoft Office applications.
• Excellent verbal, written and interpersonal skills; drafting correspondence and meeting docs.
• Strong relationship management skills.
• Strong analytical and problem-solving abilities.

Responsibilities

• Assist in end-to-end provider claims and improve call quality.
• Help enhance provider portal usability and future service enhancements.
• Contribute to design and implementation of programs that strengthen provider networks.
• Support development and management of provider networks.
• Help train external providers through education programs.
• Identify gaps in network composition to aid contracting and development.

Skills

Healthcare experience

Provider relations

Training & presenting

Claims processing

Office software

Communication skills

Analytical thinking

Relationship management

Education

High school diploma or equivalent

Tools

Microsoft Office

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with Optum Behavioral Health will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for national providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 4 leader.

You'll enjoy the flexibility to work remotely * 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 efforts to enhance ease of use of provider 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
• 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

Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that serves multiple markets and you'll be charged with educating and building relationships with national 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 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 or equivalent work experience
• 3+ years of health care/managed care experience
• 3+ years of provider relations and/or provider network experience
• Experience presenting group presentations and training
• Experience with Medicare and Medicaid regulations
• Proven understanding of healthcare systems billing
• Advanced level of proficiency in claims processing and issue resolution
• Intermediate level of proficiency with Microsoft Office applications
• Proven excellent verbal, written and interpersonal skills required, including experience drafting correspondence and preparing meeting documentation
• Solid relationship management skills
• Proven excellent analytical and problem-solving skills with effective follow-through

*All employees working remote 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 salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.