Position Description:Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader. Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.The Provider Data Specialist is 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, and initiating database improvement. Provider Data Specialists develop and maintain standards for database integrity and quality assurance, coordinate corrective activities to clean database and retain users, and manage communication processes with other departments regarding database improvements. Other responsibilities include conducting audits and providing feedback to reduce errors and improve processes and performance, maintaining current provider data to ensure the quality of the network, and may be responsible for representing the provider network area on company IT projects, reporting and tracking provider calls and complaints, or for the support, coordination, and production of the paper directory cycles.Primary Responsibilities:Maintenance of all provider records within the health plan system(s). Includes setup of demographic and specialty information, panel information (if applicable), line of business and fee schedule as instructedAssists in ensuring that Provider Directories and regulatory requirements are accurate and that errors are root caused and discussed at the global level to ensure appropriate corrections and improvements are madeData integrity and quality assuranceRequests for new or updates to provider records must completed within business mandated service level agreementsOther assignments and projects as requestedSolve routine problems on ownWork with supervisor to solve more complex problems
Required Qualifications:High School Diploma or GED2+ years of Customer Service experience1+ years of Data Entry experienceStrong knowledge of standard PC packages (Microsoft Word, Excel and Outlook)Ability to type at least 50+ WPMPreferred Qualifications:1+ years of previous experience in a healthcare setting particularly with managed care systemsKnowledge of Medicaid / Medicare / Commercial rules and regulationsPrevious experience working in a production and quality environmentAbility to utilize complex database systems and claims platforms simultaneously including, but not limited to OHBS and CSP Facets, COSMOS, and NDBSoft Skills:Strong research, follow - up, documentation, and issue resolution skillsStrong root cause analysis skills including the ability to take complex matters and format simplified key concepts to provide clear guidance to internal customersExperience multi - tasking and applying attention to detailAbility to work independently and as a team playerExcellent written and verbal communication skillsSolid analytical and problem - solving skills using reasoning and available resources to resolve issuesIndependently prioritize and organize own work to complete daily tasks within required business mandated time - framesAbility to think independently and is not afraid to ask questions with the goal of continuous improvement in mindAbility to effectively adapt and adjust to changing business needs Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.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.Keywords: UnitedHealth Group, Eden Prairie, Data Entry, Claims, Customer Service, audits, reports, CSP Facets, COSMOS, NDB
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.