Provider Engagement Representatives - Indiana
: Job Details :

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This Provider Engagement Representatives role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. We're building better, more effective provider networks every day. In this role, you'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader.If you are located in Indiana, you will have the flexibility to work remotely* as you take on some tough challenges.Primary 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 and providers* 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 teamsYou'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:* 2+ years of provider relations and/or provider network experience* 2+ years of experience with long term care nursing facilities* 1+ years of experience with Medicare and Medicaid regulations* Intermediate level of proficiency in claims processing and issue resolution* Proficiency with MS Word, Excel, PowerPoint and Access* 25-50% local travel* Reside in IndianaPreferred Qualifications:* 4+ years of health care/managed care experience* All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyAt 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.