Hiring: Provider Engagement Representative (Remote/Work from Home Jobs)

Job Responsibilities : Hiring: Provider Engagement Representative (Remote/Work from Home Jobs)

Salary : Competitive Salary

Company : UnitedHealthcare Group

We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life’s best work.SM


Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm)


The Provider Engagement Representative is responsible for the full range of provider relations and service interactions within Optum, including working on end-to-end provider issues and call quality, and training & development of external provider education programs. Provider Engagement Representatives design and implement programs to build and nurture positive relationships between the health plan, providers (physician, SNF, ancillary, etc.), and practice managers. Ensure Network deliverables in support of business development activities for new ISNP/IESNP implementations.

If you reside in Dayton, OH you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.


Primary Responsibilities:

Develop and maintain overall UnitedHealthcare business relationships with Skilled Nursing Facilities & Assisted Living Facilities
Support all education opportunities on UnitedHealthcare businesses which include in person and telephonic interactions
Lead and/or support external facing Account and business review meetings with key Skilled Nursing Facility staff to review financial performance, contract methodology, and reimbursement opportunities
Provide explanations and information to others on topics within area of expertise


Identify ancillary provider gaps, and support contracting of new providers in areas where needed
Prioritize and organize own work to meet deadlines cross functionally within the organization
Investigate non-standard requests and issues, prior to escalation if needed
Work exclusively within a specific knowledge area
Compass Data Base – update & maintain regularly with information following AR, Bus Review and JOC Meetings with facilities


Support Post-Acute Priorities
ISNP and IE-SNP Business Development – assist with planned growth initiatives for ISNP/IE-SNP business
Education and Training to facilities on Medication Adherence requirements for members
Provide outreach and education on updated policies, new initiatives, performance, and others as necessary
What are the reasons to consider working for UnitedHealth Group?   Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.


Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with 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.)
More information can be downloaded at: http://uhg.hr/uhgbenefits
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:

High School Diploma/GED (or higher) OR 3+ years of provider relations or provider network management experience
2+ years of provider relations or provider network management experience
1+ year of experience working in a Skilled Nursing or Assisted Living Facility, or working directly with this provider type


1+ year of experience with Medicare/Medicaid regulations
1+ year of experience in claims processing and issue resolution
Intermediate level of proficiency with MS Word, Excel, PowerPoint, and Outlook
Ability to travel within the Dayton, OH area
Ability to travel regionally up to 50%


Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state, and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation


Preferred Qualifications:

Bachelor’s Degree
Experience with Salesforce/Compass databases


Soft Skills:

Exceptional presentation, written and verbal communication skills
Ability to work independently and remain on task
Good organization and planning skills
Ability to prioritize and meet deadlines from multi-staff members within the department
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment.


In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.


Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So, when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.


Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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