Provider Engagement Representative

Company: UnitedHealth Group
Location: Ruskin
Posted on: March 15, 2023

Job Description:

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and 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 claim and call quality, and training & development of external provider education programs. Provider Relations Advocates 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 within the following Florida counties: Manatee, Sarasota, Charlotte, DeSoto, Hardee, or Lee, 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
--- Provide explanations and information to others on topics within area of expertise
--- 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
--- Salesforce 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

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:

--- Bachelor's Degree (or higher) OR 2+ years of similar provider engagement experience
--- 2+ years of provider relations and/or provider network experience
--- 1+ years of experience with Medicare/Medicaid regulations
--- Intermediate level of proficiency with MS Word, Excel, PowerPoint, and Teams
--- Ability to travel regionally up to 25%
--- Reside within one of the following Florida counties: Manatee, Sarasota, Charlotte, DeSoto, Hardee, or Lee

Preferred Qualifications:

--- Undergraduate degree
--- Experience working in the Skilled Nursing Facilities industry
--- Experience with Salesforce/Compass databases

Soft Skills:

--- Exceptional presentation, written and verbal communication skills
--- Ability to prioritize and meet deadlines

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

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

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO, #Yellow

Keywords: UnitedHealth Group, Palmetto , Provider Engagement Representative, Other , Ruskin, Florida