Position Description

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. The Provider Relations Advocate role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Were building better, more effective provider networks every day. In this role, youll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, youll discover the impact you want and the resources, backing and opportunities that youd expect from a Fortune 6 leader.

If you are located in Massachusetts, you will have the flexibility to telecommute* 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 physician portal and future services enhancements
  • Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
  • Support development and management of provider networks
  • Help implement training and development of external providers through education program
  • Identify gaps in network composition and services to assist network contracting and development teams

  • Are you ready for a challenge? Youll be part of a performance driven, fast paced organization that is serving multiple markets and youll be charged with educating and building relationships with providers to evolve ongoing processes and programs

    Required Qualifications:

  • 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

  • 1+ year of experience with Medicare and Medicaid regulations

  • Proficiency with MS Word, Excel, PowerPoint and Access


  • Preferred Qualifications:

  • Undergraduate degree

  • Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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 Groups Telecommuter Policy.


    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.

    Job Keywords: provider relations, claims, network, contract, Medicare, Medicaid



    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

    Launch your career - Upload your resume now!

    Upload your resume

    Loading some great jobs for you...