Optum Provider Management Services
Simplify your provider management activities with our self-service gateway and support system.
End-to-end solution for all your provider needs
Providers play a crucial role in the success of your state’s Medicaid program, and administration of your program must be efficient and responsive. At Optum, we know providers. Our insights and our operational experience led us to develop Optum Provider Management Services.
It’s a one-stop-shop for all your provider needs, with:
- A simplified user experience
- Intuitive online provider portal
- Configurable reporting dashboards to manage operations
- And much more
Simple enrollment and maintenance
The provider portal is intuitive. It guides providers step-by-step through the enrollment and submission process. Self-service features allow providers to quickly initiate, monitor and maintain their status in your Medicaid program.
Full visibility into system performance
State staff can easily manage, monitor and complete provider applications through our State Medicaid Agent portal. The portal:
- Automates enrollment decisions
- Customizes instructions
- Automatically routes to the right staff, depending on status and the data needed
Contact and mail room service
We understand providers may need multiple modes of contact and support. Our contact centers are flexible, offering live calls or interactive voice response (IVR). Our mail services allow providers to correspond via paper and by electronic transfer.
Flexibility to meet your needs
States can configure our provider application to meet the unique needs of their Medicaid program. It’s flexible in managing all provider types, including managed care organization (MCO) providers and complex provider networks.
A secure environment
Enjoy peace of mind, knowing we will carefully maintain your state’s data security. Optum hosts the service components within our FISMA-compliant secure data centers and secure cloud providers.
Continuous innovation
Our solution supports your provider interactions and helps minimize abrasion. With Optum, you’ll get an efficient, streamlined provider experience and continuous innovation. We’ll work with you to make sure the solution you’re buying today evolves with you and your organization.