hero

Opportunity is here

185
companies
1,154
Jobs

Provider Relations Advocate - Remote in MA - 2227374

Optum

Optum

Legal
Boston, MA, USA
Posted on Tuesday, May 21, 2024

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

Provider Relations Advocates are accountable for a full range of provider relations and service interactions within Optum Serve, including n end-to-end provider claims / concerns, ease of use of provider portal, and support for training & development of external provider education programs. Our advocates support and nurture positive relationships between Optum Serve, providers, and program managers. The Advocates also supports and drive strategies relating to the retention of the provider network.

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

Primary Responsibilities:

  • Assist in end-to-end provider claims and help enhance provider experience
  • Assist in efforts to enhance ease of use of provider portal and future services enhancements
  • Support development and management of provider networks within assigned regions
  • Help implement training and development of external providers through education programs in collaboration with our training teams
  • Identify gaps in network composition and services to assist network contracting teams

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 higher)
  • 1+ years of provider advocacy experience
  • 1+ years of data entry experience
  • 1+ years of experience within the healthcare or insurance industry
  • Intermediate level of proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint
  • Travel within territory up to 10%
  • Currently resides within the state of Massachusetts or is willing to relocate at your own expense

Preferred Qualifications:

  • Experience in continuous process, efficiency, and quality improvement
  • Experience with military providers / programs
  • Provider data management or other healthcare database maintenance
  • Proficiency with MS TEAMS, SharePoint and Exce

Soft Skill:

  • Ability to perform detailed work with a high degree of accuracy

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

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.

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.

#RPO #Green