Jobs · Legal

Provider Relations Advocate - Remote

Optum · Horsham, PA · Yesterday
Legal$60k–$107k/yrFull-time

Primary Responsibilities

  • Aid in the end-to-end claims process and improve call quality.
  • Support efforts to simplify the physician portal and future service enhancements.
  • Contribute to the design and implementation of programs that foster positive relationships between the health plan, providers, and practice managers.
  • Support the development and management of provider networks.
  • Implement training and development programs for external providers through education initiatives.
  • Identify gaps in network composition and services to assist in network contracting and development.

Required Qualifications

  • 4+ years of health care/managed care experience.
  • 2+ years of provider relations and/or provider network experience.
  • 2+ years of experience with Medicaid regulations.
  • Intermediate level of proficiency in claims processing and issue resolution.
  • Proficiency with MS Word, Excel, and PowerPoint.
  • Ability to travel up to 25% within the territory.
  • Driver’s License and access to reliable transportation.

Pay and Benefits

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. Additional benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and a 401(k) contribution (subject to eligibility requirements).

We are committed to mitigating our impact on the environment and enabling equitable care that addresses health disparities and improves health outcomes. UnitedHealth Group is an Equal Employment Opportunity employer and complies with all applicable laws regarding drug testing.

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