Optum
Posted 8 days agoVerified live 12h ago
Senior Provider Relations Rep - Remote
Brief overview
Remote
High SchoolOr in progress
$73k–$130k/yrStated range
3+ yrsMinimum
Healthcare/Managed CareProvider RelationsProvider Network ManagementMedicare and Medicaid RegulationsHealthcare Systems BillingClaims ProcessingMicrosoft OfficeRelationship ManagementGroup Presentations and TrainingVerbal and Written CommunicationAnalytical and Problem-Solving Skills
Job description
Summary
Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The Senior Provider Relations Rep will advocate for national providers, support provider networks, resolve claims issues, improve provider services, and build relationships through education and training.
Responsibilities
- Assist in end-to-end provider claims and help enhance call quality
- Assist in efforts to enhance ease of use of provider 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
Skills
- High school diploma or equivalent work experience
- 3+ years of health care/managed care experience
- 3+ years of provider relations and/or provider network experience
- Experience presenting group presentations and training
- Experience with Medicare and Medicaid regulations
- Proven understanding of healthcare systems billing
- Advanced level of proficiency in claims processing and issue resolution
- Intermediate level of proficiency with Microsoft Office applications
- Proven excellent verbal, written and interpersonal skills required, including experience drafting correspondence and preparing meeting documentation
- Solid relationship management skills
- Proven excellent analytical and problem-solving skills with effective follow-through
Qualifications
Must Haves
- High school diploma or equivalent work experience
- 3+ years of health care/managed care experience
- 3+ years of provider relations and/or provider network experience
- Experience presenting group presentations and training
- Experience with Medicare and Medicaid regulations
- Proven understanding of healthcare systems billing
- Advanced level of proficiency in claims processing and issue resolution
- Intermediate level of proficiency with Microsoft Office applications
- Proven excellent verbal, written and interpersonal skills required, including experience drafting correspondence and preparing meeting documentation
- Solid relationship management skills
- Proven excellent analytical and problem-solving skills with effective follow-through
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution (all benefits are subject to eligibility requirements)
- The flexibility to work remotely from anywhere within the U.S.
- Career development opportunities
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