Sign In
 [New User? Sign Up]
Mobile Version

Provider Relations Representative - Schaumburg, IL

UnitedHealth Group

Schaumburg, IL
Job Code:
Apply on the Company Site
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details

752279 Provider Relations Representative Schaumburg IL

Provider Relations Representative - Schaumburg, IL (752279)

Position Description

Position Description:

Energize your career with one of Healthcare’s fastest growing companies.  


You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.


This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.


Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

This position supports all aspects of the Retail Network Operations department, which includes, but is not limited to, payment and remittance administration, strategic and tactical projects, product development, analytics, communications, and relationship management with internal and external partners.


Primary Responsibilities:

  • Facilitate the pharmacy payment processes, including setup and delivery
  • basic knowledge of PBM practices and procedures
  • Use existing procedures and facts to solve routine problems or conduct routine analyses
  • Depend on others for instruction, guidance or direction
  • Be involved in identifying and remediating operational short-falls and researching and remediating claims
  • Engage in quality assurance initiatives to ensure accuracy in provider payment and processes
  • Assist internal Optum departments with pricing, payment, and claims processing inquiries
  • Assist and / or lead tactical projects focused on customer satisfaction and implementation, and streamlining department processes
  • Assist and / or lead strategic projects specifically focused on mitigating risk and proactively protecting the company’s financial interests
  • Enhance the development of the Optum’s suite of technology products, specifically RxClaim
  • Other duties as assigned
Required Qualifications:
  • High School Diploma / GED or higher
  • 1+ years of PBM (Prescription Benefit Management) experience
  • 2+ years of experience in a claims, customer service, or provider support role
  • Intermediate level of proficiency with Microsoft Word and Microsoft Excel (Word - creating and editing docs / Excel - reviewing and analyzing data)
Preferred Qualification:
  • Strong understanding of RxClaim processing system and / or other PBM adjudication platforms
  • Bachelor's Degree or higher
Soft Skills:
  • Good organization and planning skills
  • Ability to prioritize and meet deadlines from multi-staff members within the department
  • Ability to work proactively and independently
  • Ability to adapt to a changing work environment, including scheduling flexibility
  • Exceptional research, analytical, and communications skills
  • Ability to provide strong leadership and guidance to direct reports and peers

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.


If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance.  Join us and start doing your life’s best work.

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: UnitedHealth Group, Provider Relations Representative, Schaumburg, Illinois, remittance, PBM, pharmacy, claims, customer service, healthcare

Job Details

  • Contest Number752279
  • Job TitleProvider Relations Representative - Schaumburg, IL
  • Job FamilyNetwork Management
  • Business SegmentOptumRx

Job Location Information

  • Schaumburg, IL
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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.

Powered ByLogo

Featured Jobs[ View All ]

Featured Employers [ View All ]