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Position in this function is responsible for supporting the operations of the affiliate provider network and serving as a resource for the provider network, Operations team, and provider relations teammates to drive superior clinical quality and outcomes for Optum patients.
Primary Responsibilities:
- Serves as administrative support for the Provider Relations team
- Resolves provider issues by interfacing with cross functional Optum teams
- Processes electronic communications via email, fax and text
- Coordinates mass mailing and outreach projects to providers and patients
- Helps the Operations team plan, prepare, and execute provider events and meetings
- Coordinates with internal departments on status of clinician adds, terms and panel changes
- Serves as a point of contact for internal departments for issues related to the network
- Communicates relevant information from internal departments to the provider network
- Makes outreach and follow-up phone calls to physician offices related to specific initiatives
- Submits provider adds/changes, practice location adds/changes, and referral status changes ensuring data integrity in internal systems (IDX, Curo, etc.) and health plan websites
- Prepares health plan ID flyers for primary care physicians
- Responds to and resolves questions or concerns from clinicians or staff in a timely and service-oriented manner
- Tracks Community Meeting attendance and prepares quarterly stipend payments
- Manages provider network rosters
- Other duties as assigned
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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:
- Experience in the healthcare industry
- Proficiency with MS Word, Excel, PowerPoint
- Experience interfacing with all levels of management; professional verbal and written communication skills
- Customer service and/or consultative sales experience
- Willing and able to work in the office Monday-Friday from 8 AM - 5 PM
Preferred Qualifications:
- Experience in a clinic, medical group, or IPA setting working with physician networks
- Understanding or familiarity with managed care or population health management principles and reimbursement mechanics
- Knowledge of CPT II and ICD-10 coding systems
California Residents Only: The hourly range for California residents is $16.00 to $32.55 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.
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