Senior Network Program Specialist - Remote - Remote Eligible

Provider Senior Network Program Specialist For Veterans Affairs Community Care (Va Ccn)

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

It's time for us to talk because at UnitedHealth Group, there's never better time to lead. Healthcare is changing and evolving at a pace that few could have predicted. Technology, ideas, and bold vision are taking companies like UnitedHealth Group to new levels of performance. They can help you bring your impact to a whole new level. As a Provider Senior Network Program Specialist for the Veterans Affairs Community Care (VA CCN) you'll support VA CCN Network in 36 states. In this role you will assist providers with navigating the VA CCN program and its requirements for participation in the VA CCN network.

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.

Primary Responsibilities:

1. Effective and clear communication to support creating relationships with providers that will help ensure that providers maintain a contract within the network
2. Provide oversight of activities that support positive physician relationships with a focus on a data driven, collaborative approach
3. Collaborate with network providers for program issue resolution including contracting, credentialing, demographic management, authorizations, required education, and invoice payment processes
4. Implement strategies to support Optum's relationships with providers to influence providers to act and produce measurable outcomes relative to improving quality, efficiency of care, and administrative performance
5. Conduct required M1S provider education and training
6. Collaborate with the development and implementation of new operational processes to support the M1S program
7. Contribute to a team environment that is compassionate, supportive, inclusive and goal driven

Required Qualifications:

• 2+ years of experience in managed care (claims, advocacy, provider data review)
• 2+ years of experience with presenting educational materials
• Proven ability to work independently and with a team
• Proven ability to multitask and prioritize job assignments
• Must be able to work either Central or Eastern time zone hours

Preferred Qualifications:

• Experience with government engagement & military programs
• Proven advanced Excel/ Microsoft applications
• Proven military background
• Proven Network Management or Provider Advocacy related role

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.