Senior Provider Relations Advocate MN Fire
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. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Requirements
- 3+ years of experience in a related medical field or health plan setting (network management, contracting and/or recruitment, or provider relations)
- Experience interfacing effectively internally with all levels of staff and externally with a wide range of people such as physicians, office staff, hospital executives, medical groups, IPA’s, and community organizations with the ability to communicate and facilitate strategic meetings with groups of all sizes
- Working knowledge of Medicaid, Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage
- Knowledge of state and federal laws relating to Medicare
- Proficiency in Microsoft Word, Excel, and PowerPoint
- Ability and willingness to travel, both locally and non-locally, as determined by business need
- Access to reliable transportation and valid US driver’s license
Nice To Haves
- Healthcare management experience
- Proven solid business acumen, analytical, critical thinking, and persuasion skills
- Proven ability to function as a mentor to others
- Proven ability to develop long-term positive working relationships
- Proven ability to work independently, use good judgment and decision-making process
- Proven ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals
Responsibilities
- Providing education and training for a dedicated provider network.
- Providing ongoing training, education, and relationship building for all providers in states where the Client has membership.
- Providing additional provider education along with the high touch high service model that is contractually required for this dedicated provider network.
- Assuring network adequacy, and access standards are met for the new Client membership.
- Developing and executing recruitment plans, where applicable, and coordinating with dedicated contracting team.
Benefits
- Paid Time Off which you start to accrue with your first pay period
- 8 Paid Holidays
- Medical Plan options
- participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance
- Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan
- Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
