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Optima Health Remote Jobs (NOW HIRING)

Sentara Health Plans is looking to hire a Remote Sales Specialist- Large Group. This is an ... Interact with consultants, brokers, and benefit administrators and Optima Health business units to ...

Sacramento, CA 95826 Remote Status: Hybrid (2 days a week in office) Role Description: We are ... Drive measurable improvements in organic traffic, AI discoverability, technical SEO health, and ...

Own technical SEO health across crawlability, indexation, site speed (Core Web Vitals), mobile ... Our office follows 4 days onsite and 1-day remote schedule Travel: * Occasionally, less than 25%

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Optima Health Remote information

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$24K

$87.6K

$178K

How much do optima health remote jobs pay per year?

As of Jun 9, 2026, the average yearly pay for optima health remote in the United States is $87,580.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,500.00 and $120,000.00 per year, depending on experience, location, and employer.

What is the difference between Optima Health Remote vs Optima Health Customer Service Representative?

FeatureOptima Health RemoteOptima Health Customer Service Representative
Work EnvironmentRemote, home-basedOffice or remote depending on employer
Required CredentialsHealth insurance knowledge, customer service skillsHealth insurance knowledge, customer service skills
Industry UsageHealth insurance providers, remote roles

Optima Health Remote and Optima Health Customer Service Representative roles both require health insurance knowledge and customer service skills. The main difference lies in the work environment, with Optima Health Remote being fully remote, while the Customer Service Representative may work in an office or remotely depending on the employer. Both roles serve in the health insurance industry, focusing on assisting members and clients.

What are the typical collaboration methods for remote employees at Optima Health?

Remote employees at Optima Health typically collaborate using a combination of virtual meetings, instant messaging platforms, and shared project management tools. Regular team check-ins and one-on-one meetings with supervisors help maintain clear communication and alignment on goals. Employees are encouraged to actively participate in company-wide virtual events and utilize internal communication channels to stay connected with colleagues across departments. This structure supports a sense of teamwork and ensures that remote staff remain integrated into the organization’s culture and workflows.

What are the key skills and qualifications needed to thrive as a Remote Health Insurance Customer Service Representative at Optima Health, and why are they important?

To thrive as a Remote Health Insurance Customer Service Representative at Optima Health, you need a solid understanding of health insurance products, customer service experience, and often a high school diploma or equivalent. Familiarity with CRM systems, call center software, and secure data entry platforms is typically expected. Outstanding communication, patience, problem-solving, and self-motivation are standout soft skills in this remote role. These skills ensure efficient, accurate service delivery and a positive member experience in a virtual environment.

What is an Optima Health Remote job?

An Optima Health Remote job refers to a position with Optima Health, a health insurance provider, where employees work from locations outside of a traditional office setting, such as their home. These roles can include customer service, case management, telehealth, IT support, and other administrative positions. Remote jobs at Optima Health offer flexibility and the ability to perform job duties using digital communication tools and secure internet connections. Employees typically receive training and support to ensure they can meet company standards and provide quality service to members and clients.
Provider Relations Representative - Behavioral Health - Remote

Provider Relations Representative - Behavioral Health - Remote

UnitedHealth Group

Saint Louis, MO • On-site, Remote

$60K - $107K/yr

Full-time

Retirement

Posted 3 days ago


UnitedHealth Group rating

7.5

Company rating: 7.5 out of 10

Based on 140 frontline employees who took The Breakroom Quiz

223rd of 870 rated healthcare providers


Job description

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.
Position Overview
This remote position supports behavioral health providers in Missouri across Commercial, Medicaid, and Medicare lines of business. Candidates are not required to reside in the state of Missouri.
This role is responsible for managing the full spectrum of provider relations and service interactions within Optum Behavioral Health. The individual will serve as a key liaison between Optum and behavioral health providers, ensuring a seamless, efficient, and high-quality provider service experience
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
  • Provide end-to-end support for provider inquiries, including resolution of payment and claims-related issues
  • Build and maintain solid, collaborative relationships with behavioral health providers (physicians, hospitals, and ancillary providers) and practice administrators
  • Act as a primary point of contact to ensure timely communication and effective issue resolution
  • Improve provider service experiences by enhancing call quality, responsiveness, and overall support
  • Support the usability and functionality of the behavioral health clinician portal and contribute to future enhancements
  • Design and deliver external provider education and training programs, including webinars and educational materials
  • Identify gaps in provider network composition and service delivery to help inform network development and contracting priorities
  • Partner with cross-functional teams (claims, operations, IT, and network development) to address provider concerns and improve processes
  • Identify operational inefficiencies and support remediation efforts to increase effectiveness and service quality
  • Analyze provider feedback and service trends to recommend improvements
  • Travel up to 15% as required

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:
  • Basic knowledge of customer service, healthcare claims, insurance processes, and government programs (Medicaid/Medicare)
  • Proven solid communication, interpersonal, and relationship management skills
  • Proven ability to manage multiple priorities in a fast-paced environment
  • Employees in positions labeled "SCA" must support government Service Contract Act (SCA) agreements

Preferred Qualifications:
  • Experience in provider relations, healthcare operations, or managed care environments, particularly within behavioral health
  • Experience delivering training sessions, webinars, or provider education programs
  • Working knowledge of Medicaid, Medicare, and Commercial insurance plans, including claims and reimbursement methodologies
  • Familiarity with provider portals, electronic health records (EHR), or practice management systems
  • Knowledge of healthcare regulatory requirements impacting behavioral health providers
  • Proficiency in Microsoft Office applications, including Excel and PowerPoint
  • Proven solid analytical skills with experience reviewing provider performance or service trends

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.

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