Job: Provider Data Specialist - Greensboro, NC

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Jobing Description

Position Description:


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:

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  Apply knowledge/skills to activities that often vary from day to day.
  


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  Require little assistance with standard and non-standard requests.
  


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  Solve routine problems on own.
  


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  Work with supervisor to solve more complex problems.
  


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  Prioritize and organize own work to meet agreed upon deadlines.
  


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  Work with others as part of a team.
  

Positions in this function are 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. Develops and maintains standards for database integrity and quality assurance, coordinates corrective activities to clean database and retain users, and manages communication processes with other departments regarding database improvements. Conducts audits and provides feedback to reduce errors and improve processes and performance. Maintains current provider data to ensure the quality of the network. Responsible for handling inbound and outbound calls to providers to verify demographic elements.

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  Some work is completed without established procedures.
  
  


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  Basic tasks are completed without review by others.
  
  


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  Supervision/guidance is required for higher level tasks.
  

OptumInsight is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

OptumInsight is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights - processing health information that relates directly to and affects one in four patients in the US, one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. No matter what your role is at OptumInsight, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting. And it's never been more important.

Skills / Requirements

Requirements:

• High School Diploma/GED required


• Intermediate level of proficiency with MS Word, Excel, and Outlook; i.e. Word - creating and editing documents, printing Word documents; Excel - creating and maintaining spreadsheets, exporting data from spreadsheets, data entry, maintaining data integrity; Outlook - emailing and calendaring


• 1+ year of call center experience; i.e. handling de-escalating calls, dealing with various types of attitudes and tones from providers, handling inbound and outbound calls, utilizing proper phone etiquette


• Must be able to handle a flexible work schedule; i.e. maybe working late at times (8PM)


• 1+ year of experience handling quality assurance; i.e. familiarity with Average Handle Time (AVT), schedule adherence, monthly productivity metric goals, etc.

Assets:

• Healthcare experience


• Medical claims processing experience

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.