Spectrum Health Remote Position Jobs (NOW HIRING)

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.