Provider Relations Advocate

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 functions as a subject matter expert in Independent Physician Association (IPA) operations. This position strives to bring consistency and experience in the local market by analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. This position will organize, and assist assigned physician and physician groups and/or financial pools, as well as fellow account managers, in achieving short and long term operational/strategic business goals/ by developing, enhancing, and maintaining operational information and models.

The Provider Relations Advocate will develop and sustain a solid day-to-day relationship with the providers, and office staff to effectively implement business solutions developed by the Optum leadership team. The Provider Relations Manager is accountable for overall performance and profitability for their assigned provider groups and/or financial pools.  

 

Primary Responsibilities:

• Assist in end-to-end provider claims and help enhance call quality
• Coach, provide feedback and guide others
• Assist in efforts to enhance ease of use of physician 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
• 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

 

In this role, you’ll be part of a performance driven, fast paced organization that is serving multiple markets. You’ll have frequent interactions with senior management and physicians as you communicate about ways 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 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 or equivalent experience
• 5+ years of health care/managed care experience
• 3+ years of provider relations and/or provider network experience
• 1+ years of experience with Medicare and Medicaid regulations
• Proficiency with MS Word, Excel, PowerPoint and Access
• Intermediate level of proficiency in claims processing and issue resolution

Preferred Qualifications: 

• Experience with physician contracting
• Bilingual in English and Spanish 

California Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

 

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.