Job Description

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Provider Engagement Representative is responsible for the full range of provider relations and service interactions within Optum, including working on end-to-end provider claim and call quality, and training & development of external provider education programs. Provider Relations Advocates design and implement programs to build and nurture positive relationships between the health plan, providers (physician, SNF, ancillary, etc.), and practice managers. Ensure Network deliverables in support of business development activities for new ISNP/IESNP implementations.

If you reside in South Carolina you’ll enjoy the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

Develop and maintain overall UnitedHealthcare business relationships with Skilled Nursing Facilities & Assisted Living Facilities 
Support all education opportunities on UnitedHealthcare businesses which include in person and telephonic interactions
Lead and/or support external facing Account and business review meetings with key Skilled Nursing Facility staff
Provide explanations and information to others on topics within area of expertise
Prioritize and organize own work to meet deadlines cross functionally within the organization
Investigate non-standard requests and issues, prior to escalation if needed
Work exclusively within a specific knowledge area
Salesforce Data Base – update & maintain regularly with information following AR, Bus Review and JOC Meetings with facilities
Support Post-Acute Priorities
ISNP and IE-SNP Business Development – assist with planned growth initiatives for ISNP/IE-SNP business
Education and Training to facilities on Medication Adherence requirements for members
Provide outreach and education on updated policies, new initiatives, performance, and others as necessary

What are the reasons to consider working for UnitedHealth Group?   Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. 

Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
More information can be downloaded at: http://uhg.hr/uhgbenefits

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:

Associates Degree or 2+ years of experience working in a Skilled Nursing or Assisted Living Facility
2+ years of provider relations or provider network experience
1+ years of experience with Medicare/Medicaid regulations
1+ years of experience in claims processing and issue resolution
Intermediate level of proficiency with MS Word, Excel, PowerPoint, and Teams
Current residence in the state of South Carolina 
Ability to travel regionally up to 50%
Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation 

Preferred Qualifications:

Bachelor’s Degree
Experience working in a Skilled Nursing or Assisted Living Facility
Experience with Salesforce/Compass databases

Soft Skills:

Ability to work independently and remain on task
Good organization and planning skills
Ability to prioritize and meet deadlines from multi-staff members within the department
Exceptional presentation, written and verbal communication skills
Ability to prioritize and meet deadlines