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Healthcare Advocate - Telecommute in Oregon

UnitedHealth Group

Eugene, OR
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Job Details

757744 Healthcare Advocate Telecommute in Oregon

Healthcare Advocate - Telecommute in Oregon (757744)

Position Description

OptumInsight is searching for a motivated, skilled Healthcare Advocate to join our team. As a member of the Payer & Government Health Management Solutions team within OptumInsight, you will consult with physicians throughout a predetermined set of Provider Groups in Oregon.


If you are located in Oregon, you will have the flexibility to telecommute* as you take on some tough challenges.


Primary Responsibilities:

  • Functioning independently, travel across assigned territory to meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members
  • Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources
  • Educate providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status
  • Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and hospitals
  • Develop comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity
  • Provide training to provider groups on Medicare Advantage, quality measures (HEDIS) and risk adjustment
  • Coordinate large and small group training sessions in collaboration with the Optum Coding Trainers and Clinical staff
  • Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment education efforts
  • Coordinate risk adjustment chart reviews with capitated or risk share providers
  • Work with providers to break down barriers for chart review participation
  • Facilitate and educate providers on RADV, and data validation audits

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).

Required Qualifications:

  • Undergraduate degree or equivalent work experience
  • 3 or more years of network management, pharmaceutical sales, coding, or healthcare consulting experience
  • Ability to develop long term relationships
  • Good work ethic and ability to work independently
  • Excellent oral and written communication skills
  • Strong business acumen, analytical and persuasion skills
  • Experience giving group presentations / training
  • Proficiency in Microsoft Word and Excel
  • Ability to sit down with primary care groups of all sizes and develop joint action / workflows
  • Ability to travel within assigned territory up to 75% of the time
  • Must live within Oregon state

Preferred Qualifications:

  • Knowledge of Risk Adjustment, Managed Care, HEDIS and Medicare programs highly preferred
  • Robust coding expertise and/or a CPC/CRC/RHIT
  • Proficiency in Microsoft PowerPoint

Building diverse, high quality provider networks is creating greater access to health care and improving the lives of millions. Join us. Learn more about how you can start doing your life’s best work.(sm)


*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.



Job Keywords: Managed Care, health care, Network Program Specialist, network requirements, network assessment, network selection, network data management, provider data analysis, medical claims, claims processing, claims resolution, medical coding, project management

Job Details

  • Contest Number757744
  • Job TitleHealthcare Advocate - Telecommute in Oregon
  • Job FamilyNetwork Management
  • Business SegmentOptumInsight

Job Location Information

  • Eugene, OR
    United States
    North America
  • Other LocationsGRANTS PASS-Oregon, OR
    Springfield, OR
    Portland, OR

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 75 % of the Time
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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