Senior Provider Data Specialist

UnitedHealth Group • Minnetonka, MN

231d • $19 - $38 • Remote

About The Position

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. The Senior Provider Data Specialist will be responsible for maintaining and improving provider demographic and network data within our claims and prior authorization systems. Task will include but are not limited to the following: Demographic and contractual database maintenance, data reporting, and extraction for various analyses, as well as initiating and coordinating database improvement efforts. You will also be responsible for developing and upholding standards for database integrity and quality assurance, conducting audits, and providing feedback to reduce errors and enhance processes and performance.

Requirements

• High School Diploma/GED (or higher)
• 1+ years of data entry experience
• 1+ years of experience working in an environment with high-volume workload & competing priorities
• Intermediate level of proficiency with Microsoft Excel

Nice To Haves

• Undergraduate degree in business, healthcare administration, information technology, or a related field
• 1+ years of Facets or IDX loading experience
• 1+ years of healthcare experience
• 1+ years of reporting and analytics experience

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, IDX and/or FACETS, Macess, Sales Force, Service 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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED