Senior Provider Relations Representative

Senior Provider Relations Representative at UnitedHealth Group

@Model.JobTitle

@ Requisition Number @ @if (Model.JobDetailsJobTypeId != JobDetailsIdType.None) {

@Model.JobDetailsJobLabelId.TrimEnd(':'): @Model.JobDetailsSelectedId

}

@ Job Category @ @if (Model.Job?.Categories != null) {

Job category: @Html.JobCategory(Model.Job.Categories)

}

@ Primary Location @ @if (Model.Job?.Locations != null && Model.Job.Locations.Any()) {

Primary location: @Html.JobFormattedLocation(Model.Job.Locations.Take(1).ToList())

}

@ Additional Locations @ @if (additionalLocations != null && additionalLocations.Any()) {

Additional locations: @string.Join(" | ", additionalLocations)

}

@ Date Posted @ @if (Model.JobDetailsJobDateFormat != JobDateFormat.NoDate) {

@Model.JobDetailsJobDatePosting.TrimEnd(':'): @(Model.JobDetailsSelectedDate .ToLocalTime() .ToString(Model.DisplayJobDateFormat))

}

@ Overtime Status @ @if (!string.IsNullOrWhiteSpace(overtimeStatus)) {

Overtime status: @overtimeStatus

}

@ Travel @ @if (!string.IsNullOrWhiteSpace(Model.Job.Travel)) {

Travel: @Model.Job.Travel

}

}","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:42.6045354","DateUpdated":"2026-03-26T16:05:02.1528153"}, "site");

Senior Provider Relations Representative

Requisition number: 2365584 Job category: Network Management Primary location: San Diego, CA Date posted: 05/28/2026 Overtime status: Exempt Travel: Yes, 25 % of the Time

Share this job

• Facebook
• X
• LinkedIn
• Email

For those who want to invent the future of health care, here"s your opportunity. We"re going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Primary liaison between the client and MSO for the delivery of Managed Care Administrative Services. Responsible for concise and complete explanations of all phases of services from each MSO Department to the assigned IPA groups and resolving issues between them. Also responsible for identifying process improvement opportunities and supporting long-term relationship management strategies with provider groups.

Primary Responsibilities:

• Coordinates and conducts meetings within assigned territory. Maintains official copies of minutes, agendas and credentialing signatures at the MSO"s office. Sends announcements regarding scheduled meetings, makes phone calls to verify attendance (quorum), orders refreshments and sets up/breaks down the meetings. Prepares, or directs the preparation of, agendas, handouts and meeting minutes. Represents management at all meetings with clients in an appropriate and professional manner
• Serves as a resource for internal referrals on provider issues. Supports the Client Services Department in resolving provider issues and responds to training needs identified by other MSO departments such as Claims and Medical Management. Interfaces with Health Plan staff as required. Effectively problem solves issues as identified; documents all contact with providers/office staff in the provider"s file. Monitors client needs to evaluate satisfaction levels, and identifies trends and areas requiring improvement. Identifies recurring issues and collaborates with teams to refine training content and improve cross-departmental processes
• Manages the interface between providers, the MSO and the health plans. Remains accessible to providers and their office staff. Leaves specific instructions about how to be reached within and outside the office. Utilizes email and the cell phone to maintain productivity within and outside the office. Schedules regular visits with physician offices to provide education, training and customer service. Establishes and maintains strong, productive relationships with office staff by providing superior customer service and effectively solving issues. Stays current with activities in the market by developing an open rapport with the offices. Represents management at all meetings with clients in an appropriate and professional manner. Collaborates with leadership to prioritize high- impact providers and proactively address network challenges
• Recruits providers in designated geographic areas, negotiates provider contracts within specified guidelines and assists the Director of Network Management in all phases of network negotiations and contracting. Investigates interested providers for consideration by the regional committee. Notifies health plans and appropriate internal departments of provider contract and status changes. Functions as a messenger between plans and IPA clients, as applicable, during contracting functions
• Develops provider manuals, provider directories, provider communications, and other related materials; and facilitates the distribution of such information
• Provides feedback and recommends updates to materials to ensure clarity, consistency, and alignment with regulatory changes
• Internet portal user set-up, training, documentation, communication and troubleshooting with vendors as necessary. Monitors common user issues and collaborates with IT to improve portal functionality and user experience
• Completes other duties as requested and assigned. May participate in cross- functional initiatives or special projects to support department and organizational goals

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:

• 5+ years of experience in managed care
• Proven experience in managed care operations
• Experience training individuals on managed care policies and procedures in small or large groups. Presentation skills
• Experience organizing meetings and taking minutes. Ability to conduct on-line meetings and conference calls
• Knowledge of CPT, ICD-9 Codes
• Adept in interpreting contract language, rates, and coverage definitions
• Ability to communicate in a professional manner, have problem solving skills and work independently
• Excellent organizational and interpersonal skills
• Ability to work effectively with a wide variety of people at all levels
• Computer literacy, including competence with various word processing and managed care programs. Microsoft Office familiarity
• Reliable transportation, valid California Driver"s License and proof of insurance

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you"ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Internal apply

Bookmark job

Benefits

Our mission of helping people live healthier lives extends to our team members. Learn more about our range of benefits designed to help you live well.

Life

Resources and support to focus on what matters most to you, in every facet of your life.

Emotional

Education, tools and resources to help you reduce and manage stress, build resilience and more.

Physical

Health plans and other coverage to support wellness for you and your loved ones.

Financial

Benefits for today and to help you plan for the future, including your retirement.

Learn more

• Learn more

• Learn more

• Learn more

• Discover our family of businesses See how we're structured to help build a modern, high-performing health system.

Learn more

• Explore our hiring process Learn what to expect when you pursue an opportunity with us.

Learn more

• Benefits that support your well-being Explore opportunities from coast to coast.

Learn more

• Learn more

• Learn more

• Learn more

• Lorem Ipsum Lorem Ipsum is simply dummy text of the printing

Learn more

• Lorem Ipsum Lorem Ipsum is simply dummy text of the printing

Learn more

• Lorem Ipsum Lorem Ipsum is simply dummy text of the printing

Learn more

• How we're transforming care Find out how we're making care smarter and more personalized.

Learn more

• Committed to sustainability Take a look at all the ways we're working for a healthier, more sustainable future.

Learn more

• One team improving health care Here's how we're making the health system more connected and easier to navigate.

Learn more

• Learn more

Load more

Connect with us

• Facebook
• Instagram
• YouTube
• LinkedIn

Do not sell or share my personal information Social responsibility Fraudulent activity Cookie management Site map

Privacy Policy Family & Medical Leave Act (PDF) Equal Employment Law Poster (PDF) SMS Terms & Conditions (PDF) Employee Polygraph Protection Act (PDF) E-Verify Participation Poster (PDF) Pay Transparency Nondiscrimination Provision (PDF) Immigrant and Employee Right to Work Poster (PDF) Health Plan Notices (PDF) County of LA Fair Chance Ordinance (PDF)

2026 UnitedHealth Group. All rights reserved.

UnitedHealth Group is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday.

UnitedHealth Group is a registered service mark of UnitedHealth Group, Inc. The UnitedHealth Group name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the UnitedHealth Group, Inc.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

×

Fraudulent Activity Notice

We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.

The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These counterfeit-check cashing schemes exist and use a variety of deceptions to get people to cash these fraudulent checks.

UnitedHealth Group will never request you to pay a vendor or pay a fee of any sort to explore employment opportunities with our company.

If you wish to verify the legitimacy of any email alleging or claiming to have been sent by or on behalf of UnitedHealth Group Executives or Recruiters, please call 1-800-561-0861 between 7 a.m. and 7 p.m. CT, Monday - Friday, for assistance.

×

Our Commitment to Communities

At UnitedHealth Group, we are committed to giving back to the communities where we live and work, across the nation and around the world. Through charitable contributions and volunteering, our people are deeply and personally involved in building healthier communities.

Learn how we are giving back to our communities