Network Program Specialist

UnitedHealth Group•Columbus, OH

1d•$24 - $43•Hybrid

About The Position

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Your expertise in provider networks can help us build in the next phase of evolution. In this role, you'll use your expertise and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader. Primary Responsibilities: Help develop enterprise-wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology Perform network analysis and strategy development and implementation Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness Obtain, validate and analyze data as you analyze network availability and access Recommend utilization or expansion of networks for various products Can expect to work with EHR software, such as Epic Scanning documents and review of medical records All other duties as assigned This is no easy task. There are a lot of details to manage, key projects to support, a heavy administrative role and reliance on your analysis to drive committee decisions 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.

Requirements

High school diploma / GED
1+ years of healthcare background with medical terminology and familiarity with clinical issues
1+ years’ experience working with reporting tools and generating effective reports
Beginner level of experience with Microsoft Office
Ability to travel to offices 75% of the time within the southern Ohio region

Nice To Haves

Project management experience
Experience working with providers
Ability to convey complex information to others and make it more easily understood
Internally drive and accomplish goals
Willing to collaborate with others

Responsibilities

Help develop enterprise-wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology
Perform network analysis and strategy development and implementation
Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
Obtain, validate and analyze data as you analyze network availability and access
Recommend utilization or expansion of networks for various products
Work with EHR software, such as Epic
Scanning documents and review of medical records
All other duties as assigned