Position Description: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, 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. 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, and manages communication processes with other departments regarding database improvements. Conducts audits and provides feedback to reduce errors and improve processes and performance. Maintains current provider data to ensure the quality of the network. 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:Apply knowledge/skills to activities that often vary from day to day.Require little assistance with standard and non-standard requests.Solve routine problems on own.Work with supervisor to solve more complex problems.Prioritize and organize own work to meet agreed upon deadlines.Work with others as part of a team. Extensive work experience within own function.Work is frequently completed without established procedures.Works independently.May act as a resource for others. May coordinate other activities.
Qualifications:
Requirements:
High School Diploma/GED 1+ year previous healthcare or health insurance industry experience 1+ year previous data entry experience Basic (or higher) level of proficiency with MS Word, Excel, and Outlook
Assets:
Previous experience with claims processing and/or provider information Previous customer service experience in a corporate setting Proficiency with Medical Terminology
UnitedHealthcare, part of the UnitedHealth Group
family of companies, is comprised of three specialized businesses
dedicated to meeting the health care benefits needs of individuals and
groups; all part of something greater, but each with a specialized
focus:UnitedHealthcare Employer & Individual works with
individuals, small businesses and large multi-site employers to provide
innovative, affordable benefits services.UnitedHealthcare
Medicare & Retirement is focused on serving Americans over the age
of 50. It is the largest business dedicated to meeting the growing
health and well-being needs of aging individuals in the nation, serving
one in five Medicare beneficiaries through a comprehensive and
diversified array of products and services through four industry-leading
businesses.UnitedHealthcare Community & State provides
high-quality, personalized, public-sector health care programs that help
local government agencies improve health outcomes for millions of
children and low-income and disabled individuals at an affordable cost.Together,
we're removing the barriers that keep people from receiving the kind of
quality health care that makes a difference. We focus on Integrity,
Compassion, Relationships, Innovation and Performance as we empower
people to achieve better health and well-being.Come grow and
thrive in our culture of innovation and ideas. Because there is no
opportunity greater than the quest to help people live healthier lives.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
UnitedHealth Group is a drug-free
workplace. Candidates are required to pass a drug test before beginning
employment. In addition, employees in certain positions are subject to
random drug testing.
please reply to job6702@gmail.com