SCA Provider Relations Representative

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

Positions in this function are accountable for the full range of provider relations and service interactions within Optum Serve, including working on end-to-end provider claims / concerns, ease of use of provider portal, and support for training & development of external provider education programs. Support and nurture positive relationships between Optum Serve, providers, and program managers. Supports strategies relating to the retention of the provider network. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.

Schedule: Monday to Friday, 8-hour shifts (typically 8am-5pm or 7am-4pm) in time zone of residence

Location: Remote

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

Primary Responsibilities: 

• Assist in end-to-end provider claims and help enhance call quality 

• 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

• Support development and management of provider networks

• 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

• Function as main point of contact for providers

• Support provider retention efforts
   

What are the reasons to consider working for UnitedHealth Group?  Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

• More information can be downloaded at: http://uhg.hr/uhgbenefits

   

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)
• 2+ years of customer service experience
• 1+ years of experience within the healthcare or insurance industry
• Intermediate level of computer literacy
• Beginner level of knowledge of healthcare terminology
• Beginner level of proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint 
• Ability to perform detailed work with a high degree of accuracy

Preferred Qualifications:

• Undergraduate degree or equivalent experience
• Provider data loading or other healthcare database maintenance
• Proficiency with MS Access, MS Visio, and/or MS SharePoint
• Experience in continuous process, efficiency, and quality improvement
• Experience with NDB, PIMS, BH Facets. Accent DB, and/or VAS 

*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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