Provider Relations Coordinator - Irvine, CA

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.

Positions in this function are responsible for supporting the activities of the Provider Relations team. This position is responsible for provider services related to customer service, claims, authorizations, health plan education and issue resolution. 

Schedule: Monday to Friday, 8 AM – 5 PM

Location: Onsite - 9 TECHNOLOGY DRIVE IRVINE, CA, 92618

Primary Responsibilities:

Service Excellence:

• Serves as a point-of-contact to the physician network and is responsive to physician needs
• Responds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution
• Assists the Provider Relations team by researching and resolving issues communicated to Optum by network providers
• Conducts outreach to provider network as needed via e-mail or telephonically to help remediate inquiries and concerns from members submitted through Optum’s Patient Service Center
• Assists with the review, ongoing tracking and data collection for Optum’s providers through the Network Services’ onboarding and update processes
• Provides administrative support to PRMs and PR Department and participates in special projects as assigned

Provider Training and Data Management:

• Assists the Provider Relations team in setting up and maintaining provider e-files
• Assists the Provider Relations team in maintaining accurate and timely provider information in Optum databases including, but not limited to, maintaining PRM database
• Ensures that provider offices have a Practice Connect “account” assigned and assists in the resolution of provider questions/issues related to Practice Connect usage

Growth and Retention:

• Monitors and identifies trends on membership decline and escalates to leadership as appropriate

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)
• 1 years of experience in a health plan, managed care organization, medical group physician office or IPA setting
• 1 years of Provider Relations experience working with physicians
• Intermediate level of proficiency with Microsoft Suite
• Access to a reliable transportation and must possess a valid US driver's license

Preferred Qualification:

• 3 years of Provider Relations experience working with physicians
• 3 years of experience in a health plan, managed care organization, medical group physician office or IPA setting
• Positive attitude and outgoing personality

The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

#RPO #RED

Salary : $20 - $39