Provider Service Representative - Troy, NY

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.OptumHealth Behavioral Solutions is driven by powerful and propriety clinical management methods that optimize the health and well-being of individuals. All Behavioral Solutions programs incorporate state-of-the-art predictive modeling, outcomes management and evidence-based best practices. The result is better care and a reduction in overall health care costs.   Position Description: Positions in this function are accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training development of external provider education programs. Designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Directs and implements strategies relating to the development and management of a provider network. Identifies gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. May also be involved in identifying and remediating operational short-falls and researching and remediating claims.    Primary Responsibilities:Extensive work experience within own function. Work is frequently completed without established procedures. Works independently May act as a resource for others.  May coordinate others' activities. Qualifications: Data Entry experience - 2 years. Healthcare contracting experience - 2 years. Experience in a claims or provider support role is highly desired. Requires little assistance with standard and non-standard requests. Solves routine problems on own. Prioritizes and organizes own work to meet agreed upon deadlines. Works with others as part of a team.  Bachelors degree required, Masters preferred. Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V   UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment.