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Healthcare Provider Representative - Indiana Telecommute

UnitedHealth Group

Indianapolis, IN
Job Code:
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Job Details

756410 Healthcare Provider Representative Indiana Telecommute

Healthcare Provider Representative - Indiana Telecommute (756410)

Position 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 Healthcare Provider Representative is responsible for the full range of provider relations services within UnitedHealth Group.


Primary Responsibilities:

  • Function independently, meeting with physicians to discuss OptumInsight tools and programs focused on improving the quality of care for Medicare Advantage Members
  • Utilize data analysis, identify and target providers who would benefit from our Medicare Risk Adjustment training and documentation / coding resources
  • Educate providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status
  • Reach out to physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships
  • Develop comprehensive, provider-specific plans to increase their RAF performance
  • Train providers on our Risk Adjustment programs and tools, and work toward the adoption of these programs in to their practices
  • Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment education efforts

Required Qualifications: 

  • 3 or more years of experience in one of the following areas:  provider network management, contracting, sales or consulting experience and/or as a Registered Nurse (RN)
  • Intermediate proficiency within MS Office Suite (Excel (Pivot Tables), Word and PowerPoint) 
  • Ability to travel up to 75% as necessary; daily travel within the designated market area and possible monthly travel outside their designated market
  • Based: IN

Preferred Qualifications: 

  • Experience giving group presentations
  • Expertise in chronic condition areas (i.e. oncology, diabetes, etc.)
  • Experience in Risk Adjustment & HEDIS / STARS
  • Solid understanding of ICD-10 and CPT coding 
  • Experience in developing comprehensive, provider specific plans to improve RAF performance
Soft Skills:
  • Ability to work with physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships
  • Excellent written and oral communication skills with internal and external business partners and employees
  • Ability to develop long term relationships
  • Strong influencing and negotiation skills
  • Results-orientation; must be self-motivated and goal oriented and able to work under ambiguity; good work ethic & desire to succeed
  • Strong business acumen and analytical skills
  • Exceptional presentation skills
  • Strong process and project management skills
  • Ability to work independently and remain on task; ability to prioritize and meet deadlines
  • Good organization and planning skills

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 health care 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)


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:  Provider representative, provider network management, contracting, sales or consulting, Registered Nurse (RN), Chronic conditions, ICD-10, CPT Coding, Telecommute, Remote, Work from Home, Indianapolis, IN, Indiana

Job Details

  • Contest Number756410
  • Job TitleHealthcare Provider Representative - Indiana Telecommute
  • Job FamilyNetwork Management
  • Business SegmentOptumInsight

Job Location Information

  • Indianapolis, IN
    United States
    North America

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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