The Provider Data Specialist is responsible for various activities related to the provider network database which may include any or all of the following: database maintenance, reporting and extracting data for various reports and analyses, initiating database improvement. Provider Data Specialists develop and maintain standards for database integrity and quality assurance, coordinate corrective activities to clean database and retain users, and manage communication processes with other departments regarding database improvements. Other responsibilities include conducting audits and providing feedback to reduce errors and improve processes and performance, maintaining current provider data to ensure the quality of the network, and may be responsible for representing the provider network area on company IT projects, reporting and tracking provider calls and complaints, or for the support, coordination, and production of the paper directory cycles. In this role you will be expected to:
Apply knowledge/skills to activities that often vary from day to day.
Require little assistance with standard and non-standard requests.
Solve routine problems on own.
Work with supervisor to solve more complex problems.
Prioritize and organize own work to meet agreed upon deadlines.
Work with others as part of a team.
, part of the
family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:
UnitedHealthcare Employer & Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.
UnitedHealthcare Medicare & Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.
UnitedHealthcare Community & State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.
Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.
Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.
High school diploma/GED required
2+ years experience in the healthcare industry; i.e. someone who has worked within a hospital setting and/or a doctor's office
2+ years of data entry experience; i.e. entering all of the demographic information from providers
Intermediate level of proficiency with MS Word and Excel; i.e. Word and Excel - reviewing documentation within these two applications
Experience working with healthcare providers is preferred
Customer service experience is preferred
Proficiency with medical terminology preferred
Knowledge of NDB, FACETS, Pulse and/or NICE preferred
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
UnitedHealth Group - 2 years ago
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We have modest goals: Improve the lives of...