Provider Relations Advocate - Boise, ID

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 Advocate 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 Advocates 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:

• Use pertinent data and facts to identify and solve a range of problems within area of expertise


• Investigate non-standard requests and problems, with some assistance from others


• Work exclusively within a specific knowledge area


• Prioritize and organize own work to meet deadlines


• Provide explanations and information to others on topics within area of expertise

 This is a field staff position with home base located in the Meridian Optum Office.

Required Qualifications:

• Undergraduate degree preferred


• 2+ years of provider relations and/or provider network experience preferred


• Intermediate level of proficiency in claims processing and issue resolution


• 1+ years experience with Medicare and Medicaid regulations


• Exceptional presentation, written and verbal communication skills


• Ability to prioritize and meet deadlines from multi-staff members within the department


• Intermediate level of proficiency with MS Word, Excel, PowerPoint

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

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, provider educations, claims, Medicaid, public speaking, Boise, ID, Idaho