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Provider Portal BA - Remote at UnitedHealth Group

Provider Portal BA - Remote

UnitedHealth Group Work From Home, TX (Remote) Full-Time

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 State Government Solutions implements and operates a range of business services supporting State Governments. Client engagements include multiple Optum services that are internally provided by different teams and delivered in a matrix environment. The Business Consultant role is designed to assist in the alignment of the overall solution with the State client’s requirements and goals, using the Implementation team and Optum State Government resources.

The ideal candidate has extensive experience as a delivery professional managing relationships with State or Federal government executives in both implementation and on-going operations phases of large government health services contracts. This candidate will be an established business analyst with operational credibility and experience in the areas of implementing business service operations and Medicaid Management Information Systems (MMIS). We are particularly looking for individuals with Provider Enrollment and Credentialing portal experience to assist the Provider Portal Lead Business Analyst.

The role will foster, and support business development activities related to enhancements or additional scope. This individual will have strong executive presence and be able to clearly discuss and communicate product value and benefits to customers, prospects, and internal and external partners.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Assist the Portal Lead with provider enrollment and credentialing portals on implementation programs

  • Assist in the portal requirements gathering process, driving alignment on requirements and functionality

  • Gain agreement and establish client support for critical gap closures

  • Deliver results with efficiency, quality, and customer value; measure and report results to the client and to Optum stakeholders

  • Engage client and Optum stakeholders to manage risks and timely resolution of issues

  • Ensure in scope deployments are completed on time and per contract requirements

  • Ensure operational services are delivered with quality and within KPI and SLA requirements

  • Prioritize multiple demands and ideas based on available resources and client commitments

  • Support decisions and act quickly and effectively to sustain progress

  • Navigate and influence multiple cross-functional teams in a complex work environment

  • Foster and support business development opportunities while engaged with the client

  • Establish and implement appropriate team structure to complete program implementation

  • Establish and maintain positive relationships with the client’s executive leadership

  • Establish and maintain positive relationships with various Optum delivery teams

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: 

  • Bachelor’s degree or 3+ years of related experience

  • 3+ years of demonstrated experience working within a State Medicaid Agency or a large healthcare provider

  • 2+ years of experience managing project controls including issues, risks, requirements, scope, schedules 

  • 2+ years demonstrated experience with Provider Portal enrollment and credentialing systems

  • Experience maintaining visibility on day-to-day activities with project teams and ensuring sufficient face-time with key executive stakeholders

  • Demonstrated experience partnering with stakeholders (client and internal) to ensure the proper strategy, plan, alignment, integration and visibility

  • Experience engaging in government RFP responses and SOW activities

  • Medicaid Management Information Systems (MMIS) or commercial off the shelf products and related provider solutions experience

  • Understanding of Federal/CMS/State regulations, requirements, and processes

  • Willingness and ability to travel as required up to 50%

Preferred Qualifications:

  • Advanced industry degree or MBA

  • Experience serving as a consultant to state government clients

  • Health and Human Services (HHS) experience in public sector (Medicaid-focus)

  • Demonstrated ability to balance strategic thinking with the urgency to drive work forward

  • Proven highly skilled in communications (both verbal and written), negotiation, and conflict management

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

•All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.

Recommended Skills

  • Business Development
  • Business Service Management
  • Communication
  • Conflict Management
  • Content Management
  • Credentialing
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