Senior Provider Relations Rep - Remote
About The Position
The Provider Relations Advocate role with Optum Behavioral Health calls on your knowledge, energy, and commitment to making healthcare work more effectively for more people. This role is responsible for building better, more effective provider networks. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for national providers in our networks. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. You’ll be part of a performance-driven, fast-paced organization that serves multiple markets and you'll be charged with educating and building relationships with national providers to evolve ongoing processes and programs. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Requirements
- 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
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
Benefits
- 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
High school or GED
