Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
As a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. This life-changing work adds a layer of support to improve access to care.
We're connecting care to create a seamless health journey for patients across care settings. Join us to start **Caring. Connecting. Growing together.**
We are seeking a dynamic and strategic Provider Engagement Representative to lead and facilitate provider meetings, deliver impactful presentations, and foster strong relationships with healthcare providers. This role requires a confident communicator with a strong presence, the ability to read the room, and adapt messaging to suit diverse audiences. The ideal candidate will also support providers with claims resolution, assist with provider portal navigation, and help communicate upcoming service enhancements to ensure a seamless and informed provider experience.
This position will require travel throughout the Bexar, Brazoria, Fort Bend, Galveston, Harris, Montgomery, Travis and Williamson County, with the possibility of travel to the DFW and Waco area markets.
If you are located in Bexar, Brazoria, Fort Bend, Galveston, Harris, Travis, Williamson County and Montgomery, TX, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Plan, coordinate, and lead provider meetings, both in-person and virtual, to communicate updates, initiatives, and performance metrics
+ Deliver engaging presentations that clearly convey complex information in a compelling and accessible manner
+ Read and respond to audience cues to adjust tone, pace, and content delivery in real-time
+ Build and maintain strong relationships with providers to ensure alignment with organizational goals and initiatives
+ Collaborate with internal teams (e.g., clinical, operations, and network development) to ensure consistent messaging and support
+ Gather feedback from providers and relay insights to internal stakeholders for continuous improvement
+ Maintain detailed records of meetings, follow-ups, and action items
+ Assist in the end-to-end resolution of provider claims, ensuring timely and accurate outcomes
+ Provide training and support on the use of the provider portal, including navigation, troubleshooting, and feature updates
+ Collaborate with internal teams to support the rollout of future service improvements and digital tools
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:**
+ 4+ years of health care/managed care experience
+ 2+ years of provider relations and/or provider network experience
+ 1+ years of experience with Medicare and Medicaid regulations
+ Intermediate level of proficiency in claims processing and issue resolution
+ Proficiency in Microsoft Office Suite and virtual meeting platforms (e.g., Zoom, Teams)
+ Ability to travel regionally up to 50%
+ Driver's license and access to reliable transportation
**Preferred Qualifications:**
+ Experience working in a Skilled Nursing or Assisted Living Facility
+ Exceptional presentation, written and verbal communication skills
+ Ability to prioritize and meet deadlines
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.
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe 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 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._
_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._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._