At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

Position in this function administers the contractual and demographic data setup for the provider network (physicians, Provider groups, IPA/PHO’s, etc.) to ensure accurate claims payment and accurate directory depiction in accordance with our contractual agreement with the providers.

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

Primary Responsibilities:

• Internally facing - maintaining the contract administration, implementation and maintenance of provider contract terms and data which impacts claims payment or directory depiction
• Positions in this function are responsible for various activities related to the provider network database which may include any or all of the following: database maintenance, reporting and extracting data for various reports and analyses
• Initiating database improvement
• Develops and maintains standards for database integrity and quality assurance, coordinates corrective activities to clean database and retain users
• Manages communication processes with other departments regarding database improvements
• Maintains current provider data to ensure the quality of the network. May be responsible for representing the provider network area on company IT projects, and reporting
• Analyzes and investigates. - Provides explanations and interpretations within area of expertise
• Uses pertinent data and facts to identify and solve a range of problems within area of expertise
• Investigates non-standard requests and problems, with some assistance from others
• Works exclusively within a specific knowledge area
• Prioritizes and organizes own work to meet deadlines
• Provides explanations and information to others on topics within area of expertise
• Streamlines communication between UHN and PPO regarding contract/demographic updates by creating consistent business rules and processes to eliminate handoffs and rework
• Ensures high quality data submissions
• Conducts research on issues surrounding the accurate and timely loading of contractual and demographic data
• Reduces contract/demographic errors that affect members
  

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:

• Undergraduate degree and/or 2+ years of equivalent experience
• Proficiency with one or more of UHC provider data systems (NDB, CLM) and claims platforms (UNET, PULSE, NICE, CSP Facets)
• Proficiency in NDB provider data loading
  

Preferred Qualifications:

• Proficiency with Excel, including use of filter, remove duplicates, text to columns, and basic formulas, etc
• Exceptional skills in manipulating data, attention to detail, solid organizational skills
  

Careers with UnitedHealthcare. Work with a Fortune 5 organization that’s serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The hourly range for California/Colorado/Connecticut/Nevada/New York/Rhode Island/Washington residents is $22.45 to $43.89. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.