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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while
Caring. Connecting. Growing together.It's time for us to talk because at UnitedHealth Group, there's never better time to lead. Healthcare is changing and evolving at a pace that few could have predicted. Technology, ideas, and bold vision are taking companies like UnitedHealth Group to new levels of performance. They can help you bring your impact to a whole new level. As a Provider Senior Network Program Specialist for the Veterans Affairs Community Care (VA CCN) you'll support VA CCN Network in 36 states. In this role you will assist providers with navigating the VA CCN program and its requirements for participation in the VA CCN network.
We are honored that Optum Serve has been awarded the VA CCN for all eligible Veterans in regions 1,2, and 3. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:- Effective and clear communication to support creating relationships with providers that will help ensure that providers maintain a contract within the network
- Provide oversight of activities that support positive physician relationships with a focus on a data driven, collaborative approach
- Collaborate with network providers for program issue resolution including contracting, credentialing, demographic management, authorizations, required education, and invoice payment processes
- Implement strategies to support Optum's relationships with providers to influence providers to act and produce measurable outcomes relative to improving quality, efficiency of care, and administrative performance
- Conduct required M1S provider education and training
- Collaborate with the development and implementation of new operational processes to support the M1S program
- Contribute to a team environment that is compassionate, supportive, inclusive and goal driven
This role is all about challenge, relationships, and the ability to thrive in an ever-changing environment. You'll collaborate with other UHG business partners to support the M1S contract as we work on building effective relationships with clinicians and provider groups. The environment is fast paced and demanding, so you will be changing priorities often and reacting to the needs of the network.
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:- 2+ years of experience in managed care (claims, advocacy, provider data review)
- 2+ years of experience with presenting educational materials
- Proven ability to work independently and with a team
- Proven ability to multitask and prioritize job assignments
Preferred Qualifications:- Experience with government engagement & military programs
- Military background
- Network Management or Provider Advocacy related role
- Advance Excel/ Microsoft applications
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
