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Posted : Saturday, May 18, 2024 09:36 PM
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 Provider Relations Representative is responsible for establishing and maintaining positive relationships with various clients building strong, cohesive business partnerships.
Works with internal staff, client representatives, and other contracted entities to deliver contractual performance standards and ensure customer service objectives are continually met.
The Provider Relations Representative must have the ability to handle various situations in a professional manner, demonstrating excellent customer service at all times and ability to adapt to change.
Must be able to work collaboratively with multiple internal departments as well as external organizations.
Willingness to work as part of a team, working with others to achieve goals, solve problems, and meet established organizational objectives.
If you are located in Ventura County, CA, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.
Primary Responsibilities: Assist in efforts to enhance ease of use of physician portal and future services enhancements Assist providers and members with basic inquiries about claims, authorizations, benefits, and other issues Fostering and maintaining proactive, positive relations throughout the provider network by communicating with provider offices through face-to-face visits, emails, telephone calls, etc.
Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.
), and practice managers May also be involved in identifying and remediating operational short-falls and researching and remediating claims 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.
Years of post-high school education can be substituted/is equivalent to years of experience Required Qualifications: 2+ years of account management experience working with a medical group or IPA in a managed care environment Experience working in a similar position in the healthcare industry; or an equivalent combination of training and experience that provide the capabilities needed to perform the job duties Experience in marketing, sales or customer service in a health care setting Familiarity with managed care and self-insurance products and benefits Proven solid business acumen, customer service skills, follow-up, organizational and project management skills to ensure objectives and deadlines are consistently met Preferred Qualifications: Experience working with HMO/IPA as well as health plan knowledge Familiarity with third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration California Residents Only: The hourly range for California residents is $16.
00 to $31.
44 per hour.
Pay is based on several factors including but not limited to education, work experience, certifications, etc.
In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 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.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment
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 Provider Relations Representative is responsible for establishing and maintaining positive relationships with various clients building strong, cohesive business partnerships.
Works with internal staff, client representatives, and other contracted entities to deliver contractual performance standards and ensure customer service objectives are continually met.
The Provider Relations Representative must have the ability to handle various situations in a professional manner, demonstrating excellent customer service at all times and ability to adapt to change.
Must be able to work collaboratively with multiple internal departments as well as external organizations.
Willingness to work as part of a team, working with others to achieve goals, solve problems, and meet established organizational objectives.
If you are located in Ventura County, CA, you will have the flexibility to work remotely*, as well as work in the office as you take on some tough challenges.
Primary Responsibilities: Assist in efforts to enhance ease of use of physician portal and future services enhancements Assist providers and members with basic inquiries about claims, authorizations, benefits, and other issues Fostering and maintaining proactive, positive relations throughout the provider network by communicating with provider offices through face-to-face visits, emails, telephone calls, etc.
Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.
), and practice managers May also be involved in identifying and remediating operational short-falls and researching and remediating claims 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.
Years of post-high school education can be substituted/is equivalent to years of experience Required Qualifications: 2+ years of account management experience working with a medical group or IPA in a managed care environment Experience working in a similar position in the healthcare industry; or an equivalent combination of training and experience that provide the capabilities needed to perform the job duties Experience in marketing, sales or customer service in a health care setting Familiarity with managed care and self-insurance products and benefits Proven solid business acumen, customer service skills, follow-up, organizational and project management skills to ensure objectives and deadlines are consistently met Preferred Qualifications: Experience working with HMO/IPA as well as health plan knowledge Familiarity with third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration California Residents Only: The hourly range for California residents is $16.
00 to $31.
44 per hour.
Pay is based on several factors including but not limited to education, work experience, certifications, etc.
In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 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.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment
• Phone : NA
• Location : Oxnard, CA
• Post ID: 9005992042
