Position Description: Energize your career with one of Healthcares 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, its a dream that definitely can come true. Already one of the worlds 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 the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials. Provider Data Specialist are also responsible for overall provider contract and amendment loading and processing using various databases. Responsibilities may also include auditing contract loads for adherence to quality measurers and reporting standards.
The Provider Data Specialist will be assigned to work clean-up for in scope Pricing Integrity markets. The work includes resolving data synchronization errors between OHBS Facets, NDB, and CSP Facets. Additionally, the role will resolve provider contract row and specialty loading errors as identified in the CSP Quality Audit dashboard. Positions are also responsible for overall provider contract and amendment loading and processing using various databases. May include auditing contract loads for adherence to quality measurers and reporting standards. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement. Primary Responsibilities:
Apply knowledge / skills to a range of moderately complex activities.
Demonstrate great depth of knowledge / skills in own function.
Sometimes act as a technical resource to others in own function.
Proactively identify solutions to non-standard requests.
Solve moderately complex problems on own.
Work with team to solve complex problems.
Plan, prioritize, organize and complete work to meet established objectives.
Coordinate work of other team members as requested.
Extensive work experience within own function.
Work is frequently completed without established procedures.
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.