Senior Provider Data Specialist - National Remote

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 FACETS database. 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. 

Schedule: This will be a full-time role with 8-hour shifts between the hours of 6am-6pm, Monday-Friday, in time zone of residence. Training hours may vary. Schedule to be determined upon hire. 

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary 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, 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

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.

Required Qualifications:

• 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

Preferred Qualifications:

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

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #Green

Salary : $20 - $39