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Provider Data Analysts are responsible for various loading activities related to the provider network database (NDB) and/or research related to Emptoris or CLM.  The loaders make informed decisions through reviewing submission and synthesizing various supporting documents (emails, spreadsheets, faxes, previous communications…) to deliver quality results and are responsible for properly maintaining the provider data housed in our core systems to allow for proper claim payment and member directory information.  They complete items that are simple to moderately complex and are escalated in nature.  Provider Data Analysts work closely with internal business partners to ensure timely completion of their assigned items.

Provider Data Analysts serve an end-to-end job functionality.  Positions in this function are responsible for following standard operating procedures supporting NDB loading and potentially RCL research or secondary platform loading based on the submission and subsequent research.  They are responsible for overall provider demographic loading and processing using various databases.  This may include auditing contractual and demographic loads for adherence to quality measures and reporting standards. Submissions to Provider Data Analysts in MarketCARES are delivered via IMPACT (Salesforce) or through Phycon. Provider Data Analysts are expected to gather necessary information from IMPACT documentation and/or Phycon in order to successfully complete the provider data loading.

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

PRIMARY RESPONSIBILITIES:

• Provide support for customers across two or more platforms
• Receive work items through escalations process in IMPACT and/or Phycon and may work non-escalated items as needed
• Utilize database systems (NDB, NICE, Emptoris, CLM/CMD) and tools (SOPs, PREDiCT) to enter and/or research provider data
• Uses pertinent data and facts to identify and solve a range of problems within area of expertise
• Interpret and synthesize various supporting documents (emails, spreadsheets, faxes, previous communications) in the completion of job duties
• Demonstrate an understanding of and apply business strategies, rules, and procedures as appropriate (e.g., determine whether to reject or accept data prior to entry)
• Review system results to determine whether keyed data is accurate or updates are necessary
• Contact internal or external data submitter to verify/clarify information and/or data to be entered, when required
• Maintain current knowledge of business strategies, rules, and procedures
• Participate in applicable ad hoc projects, as assigned
• Consistently meet target production, quality, and time utilization metrics
• Audit own work through the use of Danner reporting to ensure accuracy and completeness

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
• 1.5+ years of experience, within the past 5 years, in a Provider Data Loading Analyst (DLA) or RCL Research role to include demonstrated understanding of relevant platforms and system applications as well as internal processes and procedures
• 1.5+ years of ,experience, within the past 5 years, with data analysis and / or auditing within the healthcare industry
• 1.5+ years of internal or external customer response / customer service experience, within the past 5 years.
• Proven track record of meeting or exceeding metrics with a focus on quality
• Basic proficiency in Microsoft Office
• If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

PREFERRED QUALIFICATIONS:

• 1.5+ years of experience with Escalation Processing
• Experience working with IMPACT (Salesforce)
• Experience in improving or enhancing processes or procedures based on existing knowledge
• Strong organizational and interpersonal skills

UNITEDHEALTH GROUP IS AN ESSENTIAL BUSINESS. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

You can learn more about all we are doing to fight COVID-19 and support impacted communities: click here.

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

COLORADO RESIDENTS ONLY: The hourly range for Colorado residents is $20.77 to $36.88. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

Job Keywords: Provider Data Loading, Microsoft Office, IMPACT, Salesforce, Data Analysis, Audit, DLA, RCL, Research, Customer Service, Quality, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, #RPO

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