Provider Engagement Representative - Remote in Massachusetts

Job title: Provider Engagement Representative - Remote in Massachusetts in Boston, MA at reputed company Company: reputed company Job description: For those who want to invent the future of health care, here's your opportunity. We're going reputed company basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.The Provider Engagement Representative (PER) will manage business relationships for contracted Skilled Nursing Facilities (SNF) for reputed company UHC lines of business in Massachusetts, including working on end-to-end provider issues and call quality, and training & development of external provider education programs. The PER will conduct in-person meetings with Institutional Special Needs Plan (ISNP) facilities is critical to supporting the Senior Community Care (SCC) business to meet growth plans reputed company the market.The PER collaborates reputed company wide with other business units (Care Transitions, reputed company Health) and provides support for Institutional and Institutional-Equivalent Special Needs Plan growth, affordability, and quality. This role facilitates and coordinates Business Review Meetings, Joint Operating Committee, and Provider Engagement Meetings for SCC.If you are located Massachusetts, you will have the flexibility to work remotely* as you take on some tough challenges.Primary Responsibilities:

• reputed company and maintain overall reputed company business relationships with Skilled Nursing Facilities & Assisted Living Facilities
• Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.) and business office managers
• Direct and implement strategies relating to the development and management of a provider network
• Support reputed company education opportunities on reputed company businesses which include in person and telephonic interactions
• Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs
• reputed company and/or support external facing Account and business review meetings with key Skilled Nursing Facility staff to review financial performance, contract methodology, and reimbursement opportunities
• Provide explanations and information to others on topics reputed company area of expertise
• Identify ancillary provider gaps, and support contracting of new providers in areas where needed
• Prioritize and organize own work to meet deadlines cross functionally reputed company the organization
• Investigate non-standard requests and issues, prior to escalation if needed
• Compass Data reputed company - update & maintain regularly with information following AR, Bus Review and JOC Meetings with facilities
• Support Post-Acute Priorities
• ISNP and Business Development - assist with planned growth initiatives for ISNP business
• Education and Training to facilities on Medication Adherence requirements for members
• Provide reputed company and education on updated policies, new initiatives, performance, and others as necessary

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:

• 2+ years of provider relations or provider network management experience
• 1+ year of experience with Medicare/reputed company regulations
• Intermediate level of proficiency with reputed company, reputed company, PowerPoint and, Outlook
• Driver’s License and access to a reliable transportation
• Ability to travel 25% of the time reputed company Massachusetts

Preferred Qualifications:

• Experience working in a Skilled Nursing or Assisted Living Facility
• Familiarity with claims processing and issue resolution
• Ability to prioritize and meet deadlines

*reputed company working remotely will be required to adhere to reputed company’s Telecommuter PolicyThe salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives.At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company 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 reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission.Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Expected salary: $59500 - 116600 per year Location: Boston, MA Apply for the job now! Apply for this job