Provider Relations Advocate – Boston, MA
UnitedHealth Group, Boston, MA, United States
Requisition number:
2357148 Job category:
Network Management
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 provider 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 (professional and facilities, etc.) and practice managers. Responsibilities may also include the project management of complex issue resolution involving cross functional teams.
If you live within a commutable distance to Boston, MA, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
Data analysis from a trending perspective and utilizing data to inform proactive provider education and outreach
Engagement with internal resources to project manage provider issue resolution (claims, credentialing, provider set-up)
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
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
2 years of provider relations and/or provider network experience
Intermediate level of proficiency in billing / coding / claims analysis; claim issue resolution
Intermediate level of proficiency with MS Excel, Tableau, Smartsheet, and other data tools
Reside in the state of Massachusetts
Valid driver’s license
Preferred Qualifications
Bachelor’s degree from an accredited institution
2 years of experience with Medicare and Medicaid regulations
2 years presentation experience
Experience with providers in this region
Provider Relations experience at the professional or facility level
*All employees working remotely 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 salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
#J-18808-Ljbffr
2357148 Job category:
Network Management
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 provider 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 (professional and facilities, etc.) and practice managers. Responsibilities may also include the project management of complex issue resolution involving cross functional teams.
If you live within a commutable distance to Boston, MA, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities
Data analysis from a trending perspective and utilizing data to inform proactive provider education and outreach
Engagement with internal resources to project manage provider issue resolution (claims, credentialing, provider set-up)
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
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
2 years of provider relations and/or provider network experience
Intermediate level of proficiency in billing / coding / claims analysis; claim issue resolution
Intermediate level of proficiency with MS Excel, Tableau, Smartsheet, and other data tools
Reside in the state of Massachusetts
Valid driver’s license
Preferred Qualifications
Bachelor’s degree from an accredited institution
2 years of experience with Medicare and Medicaid regulations
2 years presentation experience
Experience with providers in this region
Provider Relations experience at the professional or facility level
*All employees working remotely 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 salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
#J-18808-Ljbffr