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Provider Relations Advocate - Remote in LA or TN

Remote, USA Full-time Posted 2025-04-26

About the position

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 start Caring. Connecting. Growing together. Provider Relations Advocates are accountable for a full range of provider relations and service interactions within Optum Serve, including end-to-end provider claims and concerns, ease of use of the provider portal, and support for training and development of external provider education programs. Our advocates support and nurture positive relationships between Optum Serve, providers, and program managers. The Advocates also support and drive strategies relating to the retention of the provider network. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. 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.

Responsibilities
• Assist in end-to-end provider claims and help enhance provider experience
,
• Assist in efforts to enhance ease of use of provider portal and future services enhancements
,
• Support development and management of provider networks within assigned regions
,
• Help implement training and development of external providers through education programs in collaboration with our training teams
,
• Identify gaps in network composition and services to assist network contracting teams

Requirements
• High School Diploma/GED (or higher)
,
• 1+ years of provider advocacy experience
,
• 1+ years of data entry experience
,
• 1+ years of experience within the healthcare or insurance industry
,
• Intermediate level of proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint

Nice-to-haves
• Experience in continuous process, efficiency, and quality improvement
,
• Experience with military providers / programs
,
• Provider data management or other healthcare database maintenance
,
• Proficiency with MS TEAMS, SharePoint and Excel

Benefits
• Comprehensive benefits
,
• Career development opportunities

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