Provider Relations Representative

UnitedHealth Group • San Bernardino, CA

8h • $60,200 - $90,000 • Hybrid

About The Position

As a Provider Relations Representative at Optum, you will act as a direct interface between Optum and the affiliated physicians in Optum’s Independent Physician Association (IPA) network and support their operations and performance success. This position provides continuous education, support, training and troubleshooting to physicians and their staff. This position will require regular travel across Riverside County.

Requirements

• 2+ years of health care/managed care experience
• 2+ years of provider relations and/or provider network experience
• Intermediate level of proficiency in claims processing and issue resolution
• Proficiency with Microsoft Office Suite
• Able and willing to travel 50% within assigned territory

Nice To Haves

• Provider recruitment and contracting experience

Responsibilities

• Serve as single-point-of-contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum’s internal processes and priorities, and other Optum initiatives, as applicable
• Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to develop action plan for specific metrics needing improvement. Works with office to effectuate action plans and monitors progress
• Intervenes and escalate issues as appropriate
• Maintains awareness of providers interested in further engaging with Optum on new business opportunities (contracts and business combinations), and on shifting market/competitive dynamics that would impact the IPA
• Works collaboratively with offices and Optum growth team to drive membership growth and retention
• Responds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution
• Build collaborative relationships with IPA physicians and their office staff

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed