Dedicated Network Operations Specialist

1 week ago

Madison, United States Optum Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**

Employees in this function maintain a successful working relationship between OSHS and Dedicated Network providers as their primary point of contact for day to day operations. Operations Specialists must be able to understand and identify solutions for any issues impacting the dedicated examiners ability to complete examinations in a timely manner. Employees communicate with internal and external customers to ensure the most efficient use of time to accomplish department goals and contract requirements.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

**Primary Responsibilities**:

- Assess and resolve examiner’s concerns, developing and implementing solutions in varied clinical delivery systems as the first line of support for the Dedicated Network
- Escalate issues when appropriate to Operations Management and Vendor Management for further review and resolution
- Enter and manage availability in to Mednet for all dedicated examiners
- Continually communicate with Operations Management, POD groups and other departments to accomplish mission tasks related to achieving contract KPIs
- Solicit provider informal and formal feedback via surveys, complaints and conversations in order to develop action plans (e.g., corrective actions; suggestions to leadership; complaint resolution process)

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**:

- High School Diploma/GED (or higher)
- 1+ years of related experience in provider relations and/ or network management
- 1+ years of customer service, account services and/or account management w/ negotiations experience
- 1+ years of proven ability to effectively problem solve while utilizing solid customer service skill sets
- 1+ years of demonstrated ability to speak clearly and concisely while conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others
- Intermediate level of proficiency with Microsoft Office programs, Adobe or equivalent
- Ability to work independently in a fast-paced environment, flexible and adaptable to changing situations

**Preferred Qualifications**:

- MedNet experience
- Medical, dental, or healthcare insurance experience
- VA knowledge or experience
- Provider relationships resulting in positive provider experience and retention
- Equivalent combination of education, experience and/or applicable military experience will be considered
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
- 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: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer 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._

RPO #Green

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