Green Card Provider Relations Representative Jobs
Provider Relations Representative roles at U.S. health plans and managed care organizations qualify for EB-2 or EB-3 green card sponsorship through the PERM labor certification process. Employers document recruitment efforts, file an I-140 petition, and sponsor you for permanent residency. Understanding how your credentials map to the right preference category strengthens your sponsorship case.
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Get Access To All JobsINTRODUCTION
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.
At Optum, the mission is clear: Help people live healthier lives and help make the health system work better for everyone.
Optum Serve Health Services (OSHS) is one of three businesses under Optum Serve. Optum Serve provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans. By joining Optum Serve you are part of the family of companies that makes UnitedHealth Group a leader across most major segments in the U.S. health care system.
OSHS specializes in creating and managing health care programs through on-location services, patient specific in-clinic appointments, telehealth assessments, or any combination based on customer need. OSHS's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
ROLE AND RESPONSIBILITIES
The Provider Relations Advocate will maintain a successful working relationship between Optum Serve and network providers through a full range of provider relations and service interactions to ensure provider retention. Identify and remediate operational shortfalls, respond to customer complaints, customer satisfaction surveys and provider questions, and research and resolve accounts payable issues. Routinely negotiate cost effective fees for single services, confirm service capability and educate providers on contract expectations, processes and paperwork. Comprehend detailed knowledge of customer requirements in order to translate subcontractor agreements, contractual requirements and fee agreements to the providers. Provider Relations Advocate must be able to routinely evaluate and analyze the most beneficial solution for Optum Serve and our network providers in a variety of circumstances.
Schedule: A 40-hour work week, Monday through Friday, a flexible schedule to be determined by the supervisor upon hire in 8-hour shifts.
Location: Remote Nationwide
You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Assess and resolve specific provider concerns, developing and implementing solutions that are beneficial to providers, LHI Customers and LHI
- Educate providers on fee structures to ensure collaborative agreement and understanding of LHI Services and the fees associated with them
- Staff Provider Relations Telephone Queue, adequately respond to and resolve incoming calls in the appropriate manner
- Respond to Customer Satisfaction Surveys and Customer Complaints within the required time frame through investigation and problem solving that results in positive outcomes
- Provide explanations and information to others on topics within area of expertise
- Proactively review and maintain provider compliance documents to ensure active status within provider network
- Collaborate with other departments to assign qualified providers to orders within the contractually allowed mileage radius of the patient's home zip code
- Assist in complex end-to-end provider claims processing and resolution, including but not limited to, claims reprocessing, modifying orders, and adhering to contractual guidelines within claim requirements
- Ability to resolve complex complaints within strict deadlines while ensuring accuracy and contractual compliance
- Assist in efforts to enhance ease of use of physician portal and future services enhancements
- Assist in identifying gaps in network composition and services to support network contracting and adequacy teams
- Utilize relevant data and facts to analyze and resolve a variety of issues within area of expertise
- Investigate and identify solutions to non-standard requests and problems, with some assistance from others
- Manage and prioritize work effectively to meet deadlines, ensuring timely responses to leadership, providers, and assigned tasks
- Provide explanations and information to others on topics within area of expertise
- Use pertinent data and facts to identify and solve a range of problems within area of expertise
- Educate providers on a wide range of topics to enhance their knowledge and compliance with policies, procedures, and best practices
- Acts as a resource for others with less experience and promotes positive work environment
- Coordinate meetings with providers to discuss a variety of topics, including JOC meetings
- Attend and contribute to multi-department meetings
- Ability to travel as needed
- Perform other duties as assigned
BASIC QUALIFICATIONS
- High School Diploma/GED
- 1+ years of experience in provider relations
- 1+ years of computer proficiency experience with Microsoft Office (Word, Excel, and Outlook) and be able to access multiple web applications
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- Ability to work an 8-hour shift between 8:00 am - 6:00 pm Monday through Friday based upon business needs
- Access to reliable transportation and a current and non-restricted state driver's license and state-required insurance with the ability to travel 10% of the time within 100 miles of territory assigned
PREFERRED QUALIFICATIONS
- Knowledge of rates and managing subcontractor relationships
- Knowledge of MedNet
- Ability to effectively manage provider accounts resulting in provider retention
- Ability to develop strong professional relationships while demonstrating a clear understanding of complex business structures
- Knowledge of medical terminology
SOFT SKILLS
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with health care providers
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
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). The hourly pay for this role will range from $24.00 to $43.00 per hour 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.
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.
INTRODUCTION
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.
At Optum, the mission is clear: Help people live healthier lives and help make the health system work better for everyone.
Optum Serve Health Services (OSHS) is one of three businesses under Optum Serve. Optum Serve provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well-being of Americans. By joining Optum Serve you are part of the family of companies that makes UnitedHealth Group a leader across most major segments in the U.S. health care system.
OSHS specializes in creating and managing health care programs through on-location services, patient specific in-clinic appointments, telehealth assessments, or any combination based on customer need. OSHS's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.
ROLE AND RESPONSIBILITIES
The Provider Relations Advocate will maintain a successful working relationship between Optum Serve and network providers through a full range of provider relations and service interactions to ensure provider retention. Identify and remediate operational shortfalls, respond to customer complaints, customer satisfaction surveys and provider questions, and research and resolve accounts payable issues. Routinely negotiate cost effective fees for single services, confirm service capability and educate providers on contract expectations, processes and paperwork. Comprehend detailed knowledge of customer requirements in order to translate subcontractor agreements, contractual requirements and fee agreements to the providers. Provider Relations Advocate must be able to routinely evaluate and analyze the most beneficial solution for Optum Serve and our network providers in a variety of circumstances.
Schedule: A 40-hour work week, Monday through Friday, a flexible schedule to be determined by the supervisor upon hire in 8-hour shifts.
Location: Remote Nationwide
You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Assess and resolve specific provider concerns, developing and implementing solutions that are beneficial to providers, LHI Customers and LHI
- Educate providers on fee structures to ensure collaborative agreement and understanding of LHI Services and the fees associated with them
- Staff Provider Relations Telephone Queue, adequately respond to and resolve incoming calls in the appropriate manner
- Respond to Customer Satisfaction Surveys and Customer Complaints within the required time frame through investigation and problem solving that results in positive outcomes
- Provide explanations and information to others on topics within area of expertise
- Proactively review and maintain provider compliance documents to ensure active status within provider network
- Collaborate with other departments to assign qualified providers to orders within the contractually allowed mileage radius of the patient's home zip code
- Assist in complex end-to-end provider claims processing and resolution, including but not limited to, claims reprocessing, modifying orders, and adhering to contractual guidelines within claim requirements
- Ability to resolve complex complaints within strict deadlines while ensuring accuracy and contractual compliance
- Assist in efforts to enhance ease of use of physician portal and future services enhancements
- Assist in identifying gaps in network composition and services to support network contracting and adequacy teams
- Utilize relevant data and facts to analyze and resolve a variety of issues within area of expertise
- Investigate and identify solutions to non-standard requests and problems, with some assistance from others
- Manage and prioritize work effectively to meet deadlines, ensuring timely responses to leadership, providers, and assigned tasks
- Provide explanations and information to others on topics within area of expertise
- Use pertinent data and facts to identify and solve a range of problems within area of expertise
- Educate providers on a wide range of topics to enhance their knowledge and compliance with policies, procedures, and best practices
- Acts as a resource for others with less experience and promotes positive work environment
- Coordinate meetings with providers to discuss a variety of topics, including JOC meetings
- Attend and contribute to multi-department meetings
- Ability to travel as needed
- Perform other duties as assigned
BASIC QUALIFICATIONS
- High School Diploma/GED
- 1+ years of experience in provider relations
- 1+ years of computer proficiency experience with Microsoft Office (Word, Excel, and Outlook) and be able to access multiple web applications
- Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- Ability to work an 8-hour shift between 8:00 am - 6:00 pm Monday through Friday based upon business needs
- Access to reliable transportation and a current and non-restricted state driver's license and state-required insurance with the ability to travel 10% of the time within 100 miles of territory assigned
PREFERRED QUALIFICATIONS
- Knowledge of rates and managing subcontractor relationships
- Knowledge of MedNet
- Ability to effectively manage provider accounts resulting in provider retention
- Ability to develop strong professional relationships while demonstrating a clear understanding of complex business structures
- Knowledge of medical terminology
SOFT SKILLS
- Ability to work independently and maintain good judgment and accountability
- Demonstrated ability to work well with health care providers
- Strong organizational and time management skills
- Ability to multi-task and prioritize tasks to meet all deadlines
- Ability to work well under pressure in a fast-paced environment
- Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
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). The hourly pay for this role will range from $24.00 to $43.00 per hour 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.
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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Get Access To All JobsTips for Finding Green Card Sponsorship in Provider Relations Representative
Translate your credentials into PERM documentation
Gather official transcripts, degree equivalency evaluations, and employment verification letters before applying. PERM requires your employer to confirm your qualifications meet the job's minimum requirements, so gaps in documentation stall the process before it begins.
Target health plans with established PERM histories
Regional and national managed care organizations regularly sponsor Provider Relations Representatives through PERM. Search DOL's OFLC public disclosure data to identify employers who have filed labor certifications for this exact job title rather than guessing from job postings alone.
Use Migrate Mate to filter by sponsorship history
Filtering job searches by verified green card sponsorship saves weeks of manual research. Migrate Mate surfaces Provider Relations Representative openings at employers with documented EB-2 and EB-3 filing history, so you're applying where sponsorship is already established practice.
Check the prevailing wage before negotiating your offer
Your employer must pay at least the DOL prevailing wage for your location and job level. Use the OFLC Wage Search to look up the wage tier for your metro area before salary discussions so your offer clears the PERM threshold without renegotiation later.
Clarify EB-2 vs. EB-3 eligibility during the offer stage
Provider Relations roles typically require a bachelor's degree, placing most candidates in EB-3. Candidates with a master's degree or specialized experience in managed care contracting may qualify under EB-2, which can mean a shorter wait for certain nationalities. Confirm category placement with your employer before PERM is filed.
Understand that PERM locks in your priority date
USCIS assigns your green card priority date when your PERM labor certification is approved, not when your I-140 is filed. For EB-3 applicants from high-demand countries, that date determines your place in the queue, so earlier PERM approval directly affects how long you wait for permanent residency.
Green Card Provider Relations Representative: Frequently Asked Questions
Do Provider Relations Representative roles qualify for EB-2 or EB-3 green card sponsorship?
Most Provider Relations Representative positions qualify under EB-3 because they typically require a bachelor's degree in healthcare administration, business, or a related field. Candidates holding a master's degree or demonstrating specialized expertise in managed care contracting, provider network development, or claims adjudication may qualify under EB-2. Your employer documents the minimum requirements during the PERM labor certification filing, so the job description language matters for determining which category applies.
How does green card sponsorship differ from H-1B sponsorship for this role?
Unlike H-1B visa, EB-2 and EB-3 green card sponsorship leads to permanent residency rather than a temporary work period, and there's no annual lottery at the EB-3 level. The PERM process requires your employer to conduct a formal recruitment test and file a labor certification with DOL before petitioning USCIS. Timelines are longer overall, but you're building toward permanent status rather than renewing every few years with no guarantee of continuation.
How can I find Provider Relations Representative jobs where the employer already sponsors green cards?
Migrate Mate lets you search specifically for Provider Relations Representative openings at employers with verified EB-2 or EB-3 sponsorship history, so you're not wasting applications on roles where sponsorship is uncertain. Filtering by sponsorship type upfront is especially useful in healthcare administration, where PERM activity varies significantly between regional health plans, national managed care organizations, and third-party administrator firms.
What does the PERM labor certification process look like for a Provider Relations role?
Your employer files a PERM application with DOL after completing a formal recruitment period, which typically includes job postings, newspaper ads, and internal notices. DOL reviews whether qualified U.S. workers were available. Once certified, your employer files an I-140 immigrant petition with USCIS. The entire PERM and I-140 stage can take one to two years before you reach adjustment of status or consular processing.
Can my employer start the PERM process while I'm working on an H-1B or other nonimmigrant status?
Yes. Employers routinely file PERM labor certifications for employees already working on H-1B, L-1 visa, or other nonimmigrant statuses. The PERM filing doesn't affect your current work authorization, and getting an early start locks in your priority date. If your H-1B reaches its six-year limit before your green card is approved, an approved I-140 or a pending PERM filed more than 365 days earlier can qualify you for H-1B extensions under AC21 rules.