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Provider Relations Advocates are moving towards more of a role of training and relationship building versus claims analysis and problem solving.

The candidate needed would have a solid background in being able to handle situations that may not be ideal, de escalation of provider concerns, and spontaneous problem solving abilities.

Communication is the key. Someone who is not afraid to present in front of large crowds, and can develop training models if needed.

If you are located in Nebraska, Iowa, Michigan, or Wisconsin, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities :

• Develop solid, collaborative business relationships and establish face-to-face interactions with providers, strategic healthcare organizations, physicians, hospitals, health systems, provider and / or hospital organizations, medical societies, hospital associations, and healthcare organization leaders in Wisconsin
• Assist with and collaborate on progress towards the development and implementation of appropriate payment models with the provider community
• Actively engage with provider network to build good-will and leverage exceptional business acumen to curate long-term dialogues aimed at deliberately socializing and gaining alignment with Optum direction.

Someone who can communicate and create long standing relationship will also help to ensure that providers maintain a contract within the network

• Collaborate with network providers to identify and execute on mutually beneficial initiatives that produce measurable outcomes on key administrative performance metrics
• Implement strategies to support Optum’s relationships with providers to influence providers to act and produce measurable outcomes relative to improving quality, efficiency of care, and administrative performance
• Provide oversight of activities that support positive physician / hospital relationships with a focus on a data driven, collaborative approach.

Collaborate with network providers to identify and execute on mutually beneficial initiatives that produce

• measurable outcomes on key administrative performance metrics
• Network with providers in the community to be the face of the company within the provider community along our strategic partners
• Foster a culture that values inclusion, respect, and an ongoing commitment to delivering exceptional value to providers
• Continuously looks for new ways to solve problems, continuously optimizing the services provided and the way it’s delivered
• Provides a unique environment where each employee is expected to leverage their individual strengths to influence and support the goal of making health care better

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 :

• Experience utilizing MS Word, Excel, PowerPoint at an intermediate level of proficiency
• Experience presenting to a group
• Experience working in difficult customer service situations with an ability to de escalate concerns
• Must live in one of the following states : Michigan, Nebraska, Wisconsin, or Iowa
• All employees working remotely 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 : 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.

Last updated : 2024-04-30