Provider Engagement Representative - Telecommute in NC or GA

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Posted 11 days ago United States $53k - 95k (US Dollars)
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Job Description

Careers with OptumCare: Optum Care is a nationwide health care delivery organization that is reinventing health care, unlike anyone else in the market place, to help keep everyone healthier and feeling their best.

In all we do, we are committed to the quadruple aim - improving patient satisfaction, lowering costs, delivering quality outcomes and increasing provider satisfaction.

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

The Provider Engagement Representative is responsible for the full range of provider relations and service interactions within Optum, including working on end-to-end provider claim and call quality, and training & development of external provider education programs. Provider Relations Advocates design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Responsibilities also include directing and implementing strategies relating to the development and management of a provider network, identifying gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

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

Primary Responsibilities:

  • Use pertinent data and facts to identify and solve a range of problems within area of expertise
  • Investigate non-standard requests and problems, with some assistance from others
  • Work exclusively within a specific knowledge area
  • Prioritize and organize own work to meet deadlines
  • Provide explanations and information to others on topics within area of expertise
  • This position is unique to ISNP facilities and Primary Care Physicians
  • Provider Advocates in this role are the critical link to membership growth and new business development as well as building and maintaining PCP relationship

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:

  • Bachelor's Degree
  • 2+ years Provider Relations and/or Provider Network experience
  • Experience with Medicare and Medicaid Regulations
  • Experience utilizing Microsoft PowerPoint to create presentations from scratch, update/edit existing presentations or templates
  • Experience utilizing Microsoft Word to create general correspondence, update information within forms / templates, utilization of spell and grammar check
  • Experience utilizing Microsoft Excel to import data for reporting purposes, performing data entry, sorting /filtering, basic formulas and updating tables
  • Ability & willingness to travel up to 50% within the state of NC and/or SC
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

Preferred Qualifications:

  • Experience utilizing Microsoft Access to obtain data, generate reports, and export data to Excel for Analysis and reporting
  • Experience with SalesForce databases
  • Experience working in a Skilled Nursing Facility

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Colorado Residents Only: The salary range for Colorado residents is $53,300 to $95,100. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment

Job Keywords: Provider Engagement Representative, Skilled Nursing, Provider Relations, Medicaid, Optum, Telecommute, Remote, Work from Home