Provider Relations Advocate

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.

As a Specialty Pharmacy Technician, you'll be responsible for interpreting and entering prescription data in our pharmacy system, answering incoming calls, and completing outbound calls to / from patients, physicians and pharmacists while ensuring a high level of customer service and maximized productivity. Along the way, you'll discover the training, support, and career opportunities you'd expect from a Fortune 5 leader.

Schedule: Hybrid, Monday to Friday, 9 AM-5 PM

Location: Onsite - 2304 Zanker Rd, San Jose, CA 95131

If you reside near San Jose, CA, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.

This position follows a hybrid schedule with three in-office days per week.

Primary Responsibilities:

• Assist in end-to-end provider claims and help enhance call quality

• Assist in the design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers

• Support development and management of provider networks

• Identify gaps in network composition and services to assist network contracting and development teams

• Support existing Provider Relations Managers on day-to-day activities such maintaining rosters and other data intensive activities

• Triaging requests from providers and health plans

• Taking a giant leap step forward comes with great challenge. You'll ensure provider service quality by making outbound calls to obtain data and verify information with providers as well as perform analysis and develop reports that help clarify operational issues and opportunities

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:

• High School Diploma/GED (or higher)

• 2+ years of managed care or medical insurance experience

• 1+ years of experience in a claim, customer service or provider support role

• Intermediate level of proficiency with oral and written communication skills including telephone etiquette

• Intermediate level of proficiency with MS programs including Excel and Word

Soft Skills:

• Strong communication and interpersonal skills

• Highly organized, disciplined and detail oriented

• Ability to remain patient and positive in dynamic environments

• Solution-oriented mindset with strong problem-solving abilities

*All Telecommuters 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 hourly pay for this role will range from $17.74 to $31.63 per hour 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.

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.

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