Senior Provider Data Specialist

UnitedHealth Group • Eden Prairie, MN

10h • $20 - $36 • 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. Optum has an immediate opening for a Senior Provider Data Specialist.

Requirements

• High School Diploma/GED
• 1+ years of experience in the healthcare industry
• 1+ years of proficiency in tracking, trending and reporting on metrics
• Intermediate computer proficiency experience with Microsoft Excel programs and Adobe or equivalent
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Nice To Haves

• Undergraduate degree
• 1+ years of claims\ data entry experience
• 1+ years of reporting and analytic experience
• Proficiency with medical terminology
• Solid verbal, written and interpersonal skills
• Solid critical thinking skills, attention to detail, and proven ability to effectively problem solve while utilizing all-encompassing customer service skill sets
• Ability to work independently in a fast-paced environment, flexible and adaptable to changing situations
• Ability to demonstrate an appropriate level of assertiveness in performing work responsibilities and in making work related decisions
• Ability to influence and negotiate through use of verbal, written and interpersonal means with a diverse group of people/disciplines at all levels of an organization
• Ability to plan and prioritize effectively
• Ability to develop strong professional relationships while demonstrating a clear understanding of complex business structures
• Ability to speak clearly and concisely while conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

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, FACETS, IDX, Macess, EZ CAP, Service now, Image Net Enterprise 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
• Apply business strategies, rules, and procedures appropriately to data management decisions
• Analyze submitted data to ensure proper business processes are followed and determine appropriate actions or decisions
• Lead or participate in projects related to business rules and procedures
• Performs other duties as assigned

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED