Provider Relations Advocate – Portland, ME

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

 

The Provider Relations Advocate is responsible for the full range of provider relations and service interactions within Optum, including working on end-to-end provider issue resolution, ease of use of physician portal, future service enhancements and training & development of external provider education programs. Provider Relations Advocates socialize and implement programs to build and nurture positive relationships between the health plan, providers (physician, facilities, etc.) and practice managers. Responsibilities may also include the project management of complex issue resolution involving cross functional teams.

 

If you are located in Maine, New Hampshire, or Massachusetts, you will have the flexibility to work remotely* as you take on some tough challenges. This position will cover an assigned territory within the States within MA, NH or ME.

 

Primary Responsibilities:

• Provider education and outreach regarding policies, processes and ease of use of our provider self-service portal, provider express
  
• Delivery of external provider training and education programs either in-person, virtually or through larger external provider events
  
• Build and nurture trusted relationships with high touch and territorial providers in assigned counties for all LOB
  
• Establish recurring monthly meetings with assigned high-touch providers to discuss outstanding issues and the appropriate escalation path for resolution
  
• Develop solid, collaborative business relationships and establish face-to-face interactions with providers, strategic healthcare organizations, physicians, hospitals, health systems, provider and/or hospital organizations, medical societies, hospital associations, and healthcare organization leaders in Maine
  
• Provide oversight of activities that support positive physician/hospital relationships with a focus on a data driven, collaborative approach. Collaborate with network providers to identify and execute on mutually beneficial initiatives that produce

 

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:

• 2+ years of provider relations and/or provider network experience
  
• Intermediate level of proficiency in billing / coding / claims analysis
  
• Intermediate level of proficiency with MS Excel
  
• Experience utilizing MS Word, Excel, PowerPoint at an intermediate level of proficiency
  
• Experience presenting to a group
  
• Experience working in difficult customer service situations with an ability to de escalate concerns
  
• Live in Maine, New Hampshire, or Massachusetts 
  
• Willingness to go on site to provider offices as needed
  
• Valid driver’s license

 

Preferred Qualifications:

• Experience with Medicare and Medicaid regulations
  
• Presentation experience
  
• Experience with providers in this region
  
• Provider Relations experience at the facility level
   

*All employees working remotely 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.