Provider Relations Advocate - Boston, MA

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 diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
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 physician 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 (physician, 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 some flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:

• 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
• Establish recurring monthly meetings with assigned high-touch providers to discuss outstanding issues and the appropriate escalation path for resolution

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
• Reside in the state of Massachusetts
• Valid driver's license

Preferred Qualifications:

• 2+ years of experience with Medicare and Medicaid regulations
• 2+ years of presentation experience
• Experience with providers in this region
• Provider Relations experience professional and facility levels

*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.
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.