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.
Optum has an immediate opening for a Senior Provider Data Specialist.
Schedule: This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 8pm**.*The schedule will be determined by supervisor upon hire.
Location: You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Maintain and update the provider network database to ensure data accuracy and quality
- Conduct data extraction and reporting for various analyses
- Develop and maintain standards for database integrity and quality assurance
- Coordinate corrective activities to clean the database and retain users
- Manage communication processes with other departments regarding database improvements
- Perform audits and provide feedback to improve processes and reduce errors
- Represent the provider network area on company IT projects when needed
- Provide input and suggestions into database or system design based on process, information, or regulation changes, or client requirements
- Utilize database systems and tools (e.g., Excel, FACETS, IDX, Macess, EZ CAP, Service now, Image Net Enterprise Now) to enter and/or research provider data
- Receive data from multiple inbound sources (e.g., spreadsheets, email, claims) and interpret accompanying instructions
- Review system results to ensure data accuracy and contact internal data submitters for verification or clarification as needed
- Format data for automated system loading and organize data to answer specific business questions
- Research multiple databases to pull the correct or needed information
- Develop and/or contribute to rules and procedures to meet business or regulatory requirements
- Receive, review, and analyze data using appropriate systems and tools, and determine/implement appropriate actions
- Analyze data to identify anomalies and discrepancies, determine root causes, and engage appropriate areas for correction
- Lead or participate in projects related to the analysis and reporting of provider data
- Maintain current knowledge of business strategies, rules, and procedures through training and self-study
- Apply business strategies, rules, and procedures appropriately to data management decisions
- Analyze submitted data to ensure proper business processes are followed and determine appropriate actions or decisions
- Lead or participate in projects related to business rules and procedures
- Performs other duties as assigned
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
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
- 1+ years of experience in the healthcare industry
- 1+ years of proficiency in tracking, trending and reporting on metrics
- Intermediate computer proficiency experience with Microsoft Excel programs and Adobe or equivalent
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Preferred Qualifications:
- Undergraduate degree
- 1+ years of claims\ data entry experience
- 1+ years of reporting and analytic experience
- Proficiency with medical terminology
Soft Skills:
- Solid verbal, written and interpersonal skills
- Solid critical thinking skills, attention to detail, and proven ability to effectively problem solve while utilizing all-encompassing customer service skill sets
- Ability to work independently in a fast-paced environment, flexible and adaptable to changing situations
- Ability to demonstrate an appropriate level of assertiveness in performing work responsibilities and in making work related decisions
- Ability to influence and negotiate through use of verbal, written and interpersonal means with a diverse group of people/disciplines at all levels of an organization
- Ability to plan and prioritize effectively
- Ability to develop strong professional relationships while demonstrating a clear understanding of complex business structures
- 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
*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 hourly pay for this role will range from $20.00 to $36.00 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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