Provider Relations Representative – National Remote

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. 

The Provider Relations Representative will support a small but dynamic team in working with internal partners to manage Medicare  client setup. This role will support and evolve the Retail Network Operations – Med D network setup processes ensuring accuracy and timeliness partner with leadership on technology and process needs.

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

Primary Responsibilities:

• Predict emerging customer needs and develop innovative solutions to meet them
• Solve unique and complex problems with broad impact on the business
• Participate in the development of business strategy
• Develop and manage business plans to achieve objectives
• Translate highly complex concepts in ways that can be understood by a variety of audiences
• May have segment – wide impact
• Direct cross-functional and / or cross-segment teams
• Ability to interpret client contracts including financial and general terms
• Ability to work in large datasets including setting up coding to pull and synthesize data
• Prior experience working with clients and building relationships outside of the organization

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:

• 1+ years of experience as an Analyst 
• 1+ years of experience with data management tools or software 
• 1+ years of experience working under deadlines, deliverables, task management, etc
• 1+ years of experience managing multiple tasks, changing priorities quickly, with attention to detail
• Intermediate level proficiency in MS Word, MS Excel, PowerPoint, Outlook

Preferred Qualifications:

• Managed care/PBM experience, preferably, in the Network build setting
• Experience effectively interacting with different internal business departments
• Knowledge of the RxClaim adjudication system
• Proficiency in performing data manipulation in Excel 

Competencies: 

• Solid communication, written and verbal
• Critical thinking and problem solving 
• Work with ambiguity and drive results
• Desire to make an impact

*All Telecommuters 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 hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

    

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

    

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.

    

   

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