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Hours Full-time, Part-time
Location Honolulu, HI
Honolulu, Hawaii

About this job

Position Description: 

Energize your career with one of Healthcare's fastest growing companies.  
 
You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.
 
This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.
 
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.

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.

Requirements

Required Qualifications:
  • Bachelor's Degree OR High School Diploma/GED plus 4+ years of Provider Relations and/or Provider Network experience.
  • 2+ years of Provider Relations and/or Provider Network experience.
  • Experience in Claims processing and issue resolution.
  • Experience using a computer and Microsoft Word, Excel, PowerPoint, and Access.
  • Comfortable traveling up to 25-50% of the time as needed.
Preferred Qualifications:
  • Experience with Medicare and Medicaid regulations.
  • Prior TRICARE experience.
  • Knowledge of Autism/ABA (Applied Behavioral Analysis).
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, 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.