Optum Logo

Optum

Provider Relations Advocate - Remote

Posted 6 Days Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in Horsham, PA
60K-107K Annually
Mid level
In-Office or Remote
Hiring Remotely in Horsham, PA
60K-107K Annually
Mid level
Serve as an advocate for network providers by resolving claims issues, supporting physician portal improvements, developing provider relations programs and training, assisting network development and contracting teams, and identifying gaps in network composition to improve provider experience and access.
The summary above was generated by AI
Requisition Number: 2373658
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.
The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
You'll enjoy the flexibility to work remotely * 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

Are you ready for a challenge? You'll be part of a performance driven, fast paced organization that is serving multiple markets and you'll be charged with educating and building relationships with providers to evolve ongoing processes and programs.
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:
  • 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

*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.
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.

Similar Jobs at Optum

40 Minutes Ago
In-Office or Remote
249K-373K Annually
Senior level
249K-373K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provide part-time remote medical leadership for claims review: evaluate surgical/professional claims for coding and medical necessity, discuss cases with providers, support staff, ensure regulatory compliance, contribute to policy/criteria development, and participate in training and client relationship activities.
Top Skills: Claims SoftwareClinical SoftwareExcelMs WordPowerPoint
Yesterday
In-Office or Remote
73K-130K Annually
Junior
73K-130K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Manage day-to-day service delivery and client relationships for assigned PBM accounts. Coordinate with operations and internal partners to resolve escalations, implement products/groups, handle open enrollment, support reporting/root cause analysis, and facilitate training and compliance activities. Support upsell and renewals and travel up to 25%.
Top Skills: Claims Adjudication ToolsIssue Management ToolsMS OfficeOptumrxPbm ToolsReporting Tools
6 Days Ago
In-Office or Remote
92K-164K Annually
Junior
92K-164K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Manage health plan fraud, waste, and abuse (FWA) compliance for a Medicaid plan: oversee vendor monitoring, ensure federal and state regulatory compliance, develop policies and training, investigate FWA incidents, coordinate reporting to regulators, and implement corrective actions.
Top Skills: ExcelMs PowerpointMs Word

What you need to know about the Boston Tech Scene

Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.

Key Facts About Boston Tech

  • Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
  • Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
  • Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
  • Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account