Provider Outreach Specialist - National Remote

UnitedHealth Group • Minneapolis, MN

95d • $23 - $46 • Remote

About The Position

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 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 Outreach Specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Your expertise in provider networks can help us build in the next phase of evolution. In this role, you'll use your expertise and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Requirements

• High School Diploma/GED (or higher) OR 2+ years of experience with Medicare Advantage, Medicaid and ACA programs
• 1+ years of Provider Support experience in a high volume preferably (80 - 100 outreaches a week)
• 6+ months of experience with Medicare Advantage, Medicaid or ACA programs
• 6+ months of experience working within a HIPAA environment
• Intermediate level of proficiency in MS Office (Excel (Pivot tables, excel functions), PowerPoint and Word)

Nice To Haves

• 1+ years of experience with provider groups within an office environment or provider services
• Knowledge of HEDIS and Stars
• Ability to work independently toward individual and team metrics
• Ability to interact and verbally communicate effectively with provider offices and all levels of personnel in a professional, courteous, and effective manner with excellent customer service skills
• Demonstrated organizational and prioritization skills

Responsibilities

• Inbound and outbound calling to connect virtually to establish positive, long-term, consultative relationships with physicians and medical groups
• Functioning independently with outreach to provider groups to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage, Medicaid and ACA Members
• Provide support for Risk and Quality Client Programs such as Healthcare Patient Assessment Form by ensuring correct delivery of data/forms to the correct providers, portal training and the return of the data to coding ops, ensuring accurate payments are occurring for each provider based on client contract
• Assist providers in understanding quality and CMS-HCC Risk Adjustment driven payment methodology and the importance of proper chart documentation of procedures and diagnosis coding
• Delivers diagnosis coding tools to providers
• Collaborates with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and Quality education efforts

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED