Provider Relations Representative - Santa Ana, CA, Concord, CA,

Description UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
If you want more meaning in your career - as a clinician or a business professional - think of OptumHealth as your calling.
 
By providing 60 million Americans with information, tools and solutions, we are helping to guide them through the health care system, financing their health care needs, and enabling them to achieve their personal health and well-being goals.
 
Provider Relations Representative - Santa Ana, CA, Concord, CA, San Francisco, CA or Columbia, MD
 
Position Description:
Positions in this function are accountable for the full range of provider relations and service interactions within UHG, 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.  Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers.  Directs and implements strategies relating to the development and management of a provider network.  Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs.  May also be involved in identifying and remediating operational short-falls and researching and remediating claims.
 
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system.  You will leverage your skills across a diverse and multi-faceted business.  And you will make contributions that will have an impact that's greater than you've ever imagined.

Requirements Qualifications:

• 3 - 5 years experience in Provider Service Industry
• 1 - 3 years experience in a medical or dental insurance background
• Experience with MS Office (Word, Excel and PowerPoint)
• Above average profiency in Excel, Access and PowerPoint is a plus
• Applicant should be a self starter that takes initiative and uses criticle thinking
• Experience with Facets a plus
• Experience with Seibel a plus
• Experience with Business Objects Reporting Database a plus 

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
 
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.