Provider Relations Consultant - Indianapolis, IN - Full-time / Part-time

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)

What makes your Provider Relations career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting.

The Provider Relations Consultant is responsible for 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 Consultants design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.

Responsibilities also include directing and implementing strategies relating to the development and management of a provider network, identifying 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.

Primary Responsibilities:

• Anticipate customer needs and proactively develop solutions to meet them


• Serve as a key resource on complex and/or critical issues


• Solve complex problems and develop innovative solutions


• Perform complex conceptual analyses


• Review work performed by others and provide recommendations for improvement


• Forecast and plan resource requirements


• Authorize deviations from standards


• May lead functional or segment teams or projects


• Provide explanations and information to others on the most complex issues


• Motivate and inspire other team members

This position is critical in developing, strengthening and building relationships within our Provider Network. A Provider Relations Consultant is 'the face' of the organization and is critical in helping us strive for excellence in everything we do.

Required Qualifications:

• 5+ years of provider relations and/or network management experience


• At least an intermediate level of knowledge of claims/systems processes, contracting and reimbursement methodologies


• 5+ years of experience with Medicare and Medicaid regulations


• Advanced organization and planning skills


• At least an intermediate level of proficiency with MS Word, Excel, and PowerPoint

Preferred Qualifications:

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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.

Job Keywords: Provider relations, claims, issue resolution, provider education, vision, Indianapolis, IN