Healthcare Provider Relations Representative - Cypress, CA

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

The Provider Relations Representative is responsible for assisting in the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Provider Relations Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

In this role you will be expected to:
- Apply basic knowledge of theories, practices and procedures.
- Perform routine or structured work.
- Respond to routine or standard requests.
- Use existing procedures and facts to solve routine problems or conduct routine analyses.
- Depend on others for instruction, guidance or direction.

This position is in the Cypress office and is not a telecommute position. This position will support the capitated/delegated HMO providers in the Southern California market so understanding the HMO model and capitation is a plus.

Requirements:
- Undergraduate degree preferred.
- 1+ years of managed care or medical insurance experience.
- 1+ years experience in a claims, customer service or provider support role.
- Ability to work independently and remain on task.
- Good organization and planning skills.
- Strong interpersonal and oral communication skills including telephone etiquette.
- Ability to prioritize and meet deadlines from multi-staff members within the department.
- Strong research and analytical skills.
- Intermediate level of proficiency with MS Excel and Word.

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 17 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.




UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.