Provider Experience Supervisor - National Remote

Posted 3 Hours Ago
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Hiring Remotely in Biddeford, ME, USA
In-Office or Remote
50K-89K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Supervise and coach a national team of provider experience/pharmacy care coordinators handling prior authorizations, provider outreach, inbound/outbound calls, appeals, and client relationship management. Partner with Operations and Sales to develop processes, training, metrics, and drive client business. Ensure quality, compliance with pharmacy practices, and mentor staff; travel under 10%.
Summary Generated by Built In
Requisition Number: 2373674
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.
We take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. We are committed to quality outcomes for the patients and providers we serve.
The Supervisor role will be to lead a team of care coordinators on either inbound call, provider portal chat, provider outreach, or sales inquiries and escalations.
ESSENTIAL FUNCTIONS
  • Directly lead and support a team of pharmacy care coordinators
  • Will report directly to a manager of Provider Experience
  • Responsible for the overall management of executing strategy, partnering with Operations and Sales and other departmental leaders to develop processes, training, developing metrics, and provide mentoring and coaching.
  • Lead a team of Provider Experience team members whose responsibilities entail, obtaining support documents for prior authorizations, partnering with prior authorization coordinators and other operational teams, provider clarification support, follow up on prior authorization outcome, assisting with appeals, handling inbound/outbound calls, addressing issues, handling concerns from clients, providers, patients and other corresponding departments and sites
  • Client service management: responsibilities entail partnering with the sales team to drive revenue, effectively managing client business, and building relationships
  • Travel will be less than 10%

KNOWLEDGE, SKILLS AND ABILITIES
  • Able to problem solve with decisiveness and urgency.
  • Experience establishing and executing action plans.
  • Strong business acumen and ability to make good judgement.
  • Ability to be diplomatic when faced with conflict, and always communicate in a professional and courteous manner.
  • Ability to produce quality results with a detail-oriented focus.
  • Ability to exemplify servant leadership while building high-performing teams and managing talent.
  • General knowledge of pharmacy laws, practices and procedures.
  • Strong analytical skills, good organizational skills, and ability to manage and prioritize multiple projects; ability to identify and solve practical problems; ability to produce results by determining timeframes, deadlines, and successive steps
  • Strong interpersonal skills, strong oral communication skills and the ability to communicate effectively either one-on-one or before groups.
  • Ability to network, collaborate and interact with leaders effectively.
  • Proficient in Microsoft Office applications.
  • Flexible and have the initiative to thrive in a dynamic environment of rapidly changing needs; work well under pressure; and is a highly motivated with the ability to self-direct and prioritize.
  • High professional ethics and standards.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 or GED
  • 1+ years of Leadership experience
  • Beginner level of proficiency with MS Office (Word, Excel, Outlook)

Preferred Qualifications
  • Associate's degree or 2+ years of leadership experience
  • Pharmacy experience (mail order, retail, hospital, LTC etc.)
  • Prior experience as a Team Lead or Supervisory experience
  • Current and unrestricted Pharmacy Technician License
  • National Technician Certification (PTCB)
  • Call center experience
  • PBM and / or Managed Care experience
  • Solid problem-solving skills
  • Superior communication skills, both written and verbal
  • Ability to work independently

*All Telecommuters 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 $49,700 to $88,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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.
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.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #GREEN

Skills Required

  • High School Diploma or GED
  • 1+ years of leadership experience
  • Beginner level proficiency with MS Office (Word, Excel, Outlook)
  • Ability to problem solve with decisiveness and urgency
  • Experience establishing and executing action plans
  • Strong business acumen and judgment
  • Ability to communicate professionally and diplomatically under conflict
  • General knowledge of pharmacy laws, practices, and procedures
  • Strong analytical, organizational and prioritization skills
  • Proficient in Microsoft Office applications
  • Associate's degree or 2+ years of leadership experience
  • Pharmacy experience (mail order, retail, hospital, LTC)
  • Prior team lead or supervisory experience
  • Current and unrestricted Pharmacy Technician License
  • National Technician Certification (PTCB)
  • Call center experience
  • PBM and/or managed care experience
  • Ability to work independently

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth PTO accrues each pay period with eight paid U.S. holidays plus a floating holiday, and generous time away is consistently emphasized. This breadth supports planned and unplanned time off beyond standard vacation days.
  • Parental & Family Support Six weeks of paid parental leave, up to two weeks of paid caregiver leave, Bright Horizons back‑up care, and adoption assistance signal strong family-oriented support. EAP access with counseling sessions further extends help to employees and their households.
  • Wellbeing & Lifestyle Benefits Company‑paid short‑ and long‑term disability, Calm app membership, tuition reimbursement, commuter and FSA accounts, and broad employee discounts expand everyday wellbeing resources. Free or low‑cost virtual visits complement these lifestyle supports.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
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