Oversee processing of physician adds, terms and demographic changes Review and verify provider panel status and current health plan IDs Manage and maintain current roster of primary care and specialty care physicians Support patient retention workflows during provider network changes Distribute materials, performance/patient data, and communications to physician network Support provider credentialing/recredentialing processes Connect telephonically with patients to facilitate access to primary c... more details
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 startCaring. Connecting. Growing together.
This individual will support the day-to-day administrative functions and processes for Optums contracted physician network and support patient care workflows.
Location: 2-3 days a week in office at 19191 S Vermont Torrance, CA 90502
If you reside near Torrance, CA, you will enjoy the flexibility of a hybrid-remote role as you take on some tough challenges.
Primary Responsibilities:
- Oversee processing of physician adds, terms and demographic changes
- Review and verify provider panel status and current health plan IDs
- Manage and maintain current roster of primary care and specialty care physicians
- Support patient retention workflows during provider network changes
- Distribute materials, performance/patient data, and communications to physician network
- Support provider credentialing/recredentialing processes
- Connect telephonically with patients to facilitate access to primary care and wrap-around care services
- Attend and help prepare for regional meetings (i.e., provider meetings, education sessions, etc.), health fairs and other regional events
- Respond to and resolve questions or concerns from providers, internal staff, or patients in a timely and service-oriented manner
- May interact with patients directly, on occasion
Youll 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)
- Currently Medical Assistant certification OR the ability to obtain certification prior to start date
- 1+ years of managed care, medical insurance, or other related experience
- 1+ years of experience in a patient or provider support role
- Intermediate level of proficiency with Microsoft Office products including Excel, PowerPoint, Word, Outlook, Teams
- Ability to work 2-3 days a week in office at 19191 S Vermont Torrance, CA 90502
Preferred Qualifications:
- Experience in value-based healthcare operations with a health plan, medical group, or IPA
- Bilingual
Soft Skills:
- Proven oral communication skills including telephone etiquette
- Strong analytical skills
- Strong organizational skills
- Strong ability to develop trusting professional relationships
- Demonstrated ability to exercise initiative, independent judgment and be a self-starter
- Excellent communication and interpersonal skills, with the ability to be personable yet persistent
- Ability and willingness to stretch up and down in responsibilities
- Attention to detail (i.e., zero defect work)
- Execution minded, with a bias towards action
*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.
California Residents Only:The hourly range for California residents is$16.54 to $32.55per hour.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.UnitedHealth Group complies with all minimum wage laws as applicable.In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, youll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location, and incomedeserves 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.
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 Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #Yellow
