Provider Relations Advocate
Optum · McAllen, TX · Yesterday
Legal$60k–$107k/yrFull-time
Primary Responsibilities
- Aid in end-to-end provider claims processing
- Enhance call quality for physician interactions
- Support the enhancement of the physician portal’s usability
- Contribute to the design and implementation of programs fostering positive relationships between the health plan, providers, and practice managers
- Develop and manage training and development programs for external providers
- Identify gaps in the network composition and services to support network contracting and development
Requirements
- High School Diploma/GED
- 4+ years of health care/managed care experience
- 2+ years of provider relations and/or provider network experience
- 1+ years of experience in claims processing and issue resolution
- 1+ years of experience with Medicare and Medicaid regulations
- Ability to travel 50 - 75%
Qualifications
- Intermediate level of proficiency with MS Office
- Access to reliable transportation and valid US driver's license
Benefits
- Competitive base pay
- Full and comprehensive benefit program
- Performance rewards
- Management team committed to your success
- Benefits include:
- Paid time off
- Medical plan options
- Dental, vision, life & AD&D insurance
- Short-term 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
Pay
The salary for this role will range from $60,200 to $107,400 annually based on full-time employment.
Schedule
No specific schedule is mentioned in the job posting.
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
UnitedHealth Group
- Equal Employment Opportunity/Affirmative Action employer
- Commitment to mitigating impact on the environment
- Enterprise priority to address health disparities and improve health outcomes
- Drug-free workplace policy