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Senior Provider Service Representative - Irvine, CA

Company: UnitedHealth Group
Location: Irvine
Posted on: January 15, 2022

Job Description:

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

The Senior Provider Service Representative is responsible for assisting in the full range of provider relations and service interactions within UnitedHealth Group, OptumRx, including working on end-to-end provider network solicitation and maintenance. The Senior Provider Service Representative assists in the design and implementation programs to build and nurture positive relationships between the providers and customers, internal and external. Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.
Primary Responsibilities:

  • Be the main point of contact for contract management.

  • Perform contract routing duties as assigned including logging receipt of contracts and ensuring the contracts are properly executed.

  • Maintain, track and file provider contracts.

  • Provide standard agreements upon request, pursuant to contracting initiatives and assist with contracting projects.

  • Assist with review of contracts.

  • Day to day contact for assigned network pharmacy partners as applicable.

  • Partner closely with peers across different departments on strategic projects/issues to apply strategic thinking, expert situational and business knowledge and a deep understanding of the industry drivers to advance company objectives.

  • Support Network Relations team as requested.

  • Additional duties as assigned.
    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.
    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:
      Required Qualifications:

      • High School Diploma/GED or above

      • Experience using Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables)

      • 1+ year of experience with provider data support or management

      • 1+ year of experience with healthcare network or contract, documentation and reporting.

      • Ability to effectively present information and respond to questions from providers, management and technical associates.

      • Ability to solve practical issues and deal with many variables in situations where only limited standardization exists.

      • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

      • Excellent organizational skills.

      • Excellent verbal and written communication skills.

      • Project management skills.

      • Customer service orientation and relationship management skills.

      • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
        Preferred Qualifications:

        • Associate's or Bachelor's Degree (or higher)

        • Experience with RxClaim

        • Experience with Adobe Sign
          Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where healthcare has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
          UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
          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.
          Keywords: Senior Provider Service Representative, Irvine, CA, healthcare, UHG, #RPO

Keywords: UnitedHealth Group, Irvine , Senior Provider Service Representative - Irvine, CA, Sales , Irvine, California

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