Email Alert for
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.
UnitedHealth Group
Valparaiso
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.** The Senior Provider Engagement Representative is accountable for the full range of provider relations and service
Job Source: UnitedHealth GroupD.R. Horton, Inc.
Crown Point
*D.R. Horton, Inc.*is currently looking for a*_Sales Representative (NE)_for their NW Indiana Communities.*The right candidate's primary responsibility is to manage the sales process while providing excellent customer service. The Sales Representative continuously sources new customers, helps customers find and design their dream home, and ensures
Job Source: D.R. Horton, Inc.D.R. Horton, Inc.
Crown Point
*D.R. Horton, Inc., the largest homebuilder in the U.S.,*was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high quality homes designed principally for the entry-level and first time move-up markets. The Company also provides mortgage financing and title services for ho
Job Source: D.R. Horton, Inc.ATI Physical Therapy
Portage
**Overview** **The Position is Eligible for Relocation Bonus.** **Explore ATI Launch** and **Explore ATI Passport** are internal Physical Therapist travel programs offered by ATI,tailored to recent graduates, those looking to return to outpatient orthopedics, and experienced clinicians seekingnew opportunities. The programs provide a chance to gain
Job Source: ATI Physical TherapyATI Physical Therapy
Hobart
**Overview** **The Position is Eligible for Relocation Bonus.** **Explore ATI Launch** and **Explore ATI Passport** are internal Physical Therapist travel programs offered by ATI,tailored to recent graduates, those looking to return to outpatient orthopedics, and experienced clinicians seekingnew opportunities. The programs provide a chance to gain
Job Source: ATI Physical TherapyATI Physical Therapy
Chesterton
**Overview** **The Position is Eligible for Relocation Bonus.** **Explore ATI Launch** and **Explore ATI Passport** are internal Physical Therapist travel programs offered by ATI,tailored to recent graduates, those looking to return to outpatient orthopedics, and experienced clinicians seekingnew opportunities. The programs provide a chance to gain
Job Source: ATI Physical TherapyUnitedHealth Group
Merrillville
**“A Day in the Life” (outube.com/watch?v=wR5bzhHlT7k)** **Opportunities with Genoa Healthcare.** A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than just provide medicine: we change lives for the better. People with serious mental or chronic illn
Job Source: UnitedHealth GroupALS
Valparaiso
**Overview** **Imagine your future with us!** At ALS, we encourage you to dream big. When you join ALS, you join a purpose and values-driven team that empowers you to innovate, create, and thrive. Our global team turns up each day with passion and commitment to do amazing things, always challenging our thinking to find ways to solve some of the wor
Job Source: ALSValparaiso
For those who want to invent the future of health care, here's your opportunity. We're going beyond 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 all UHC lines of business in Indiana, 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 within the market.
The PER collaborates enterprise wide with other business units (Care Transitions, Optum 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 in Indiana, you will have the flexibility to work remotely* as you take on some tough challenges.
**Primary Responsibilities:**
+ Develop and maintain overall UnitedHealthcare 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 all education opportunities on UnitedHealthcare 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
+ Lead 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 within 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 within the organization
+ Investigate non-standard requests and issues, prior to escalation if needed
+ Compass Data Base - 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 outreach 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/Medicaid regulations
+ Intermediate level of proficiency with MS Word, Excel, PowerPoint and, Outlook
+ Ability to travel within the Indiana Market
**Preferred Qualifications:**
+ Experience working in a Skilled Nursing or Assisted Living Facility
+ Ability to prioritize and meet deadlines
+ Familiarity with claims processing and issue resolution
*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._
_Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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._
_OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
Email Alert for Provider Engagement Representative - Remote in Indiana_ jobs in Valparaiso
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.