UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

You know it. We know it. Change is sweeping through health care in ways that that go beyond the basics covered in the news. Organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks get shaped, perform and are compensated. Everything is open to new ideas and innovation. And a lot of the good stuff starts in roles like this. Join us and you'll play a key role in managing data about the physicians and specialists who are part of our provider networks. This role will put you on a team of incredibly talented technology and business professionals. You'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

SENIOR DATA STEWARD SMES are responsible for various research and loading activities related to the C&S provider network database with direct load maintenance into CSP Facets platform.  They are responsible for conducting proper research through various tool to properly maintain the provider data housed in our core systems to allow for proper state reporting, claim payment, member assignment and directory information. Senior Data Steward Specialist SME provide support and coaching to peers to ensuring high quality results.

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

Positions in this function are responsible for various activities related to the provider network database which may include any or all the following: 

• Database maintenance, reporting and extracting data for various reports and analysis
• Develops and maintains standards for database integrity and quality assurance
• Coordinates corrective activities to maintain system sync efforts between NDB and CSP
• Manages communication processes with other departments
• Conducts audits and provides feedback to reduce errors and improve processes and performance
• Maintains current provider data to ensure the quality of the network
• 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. 
• Provide support and coaching to peers, ensuring high quality results and assists frontline Provider Data Steward staff in making informed decisions by answering their questions, resolving their issues, as well as providing on the job support.
• Assist Supervisors with projects, inventory queue management, team coaching, and process improvement initiatives.

PRIMARY RESPONSIBILITIES:

• Receive data from multiple inbound sources (e.g. Special Projects, Rosters, Control Reporting, Escalations, FST, spreadsheets & email) and conduct proper research to initiate update/change requests to provider data within CSP Facets
• Utilize multiple database systems and tools to enter and/or research provider data to pull in the correct or needed information (e.g., PhyCon, CAQH, CSP Facets, NDB, Impact, CORE, PLMI, etc.).
• Review system results to determine whether keyed data is correct, or updates are necessary.
• Support Validation Program and provide coaching for productivity and quality
• Maintain current knowledge of business strategies, rules, and procedures (e.g., attend training).
• 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).
• Inventory queue management
• Ad hoc projects
• Develop and maintain process documentation with the ability to identify and apply process improvements
• Develop and maintain productive work relationships
• Provide personalized and consultative education and information
• Use pertinent data and facts to identify and solve a range of problems within area of expertise
• Investigate non-standard requests and problems, with some assistance from others
• Work exclusively within a specific knowledge area
• Prioritize and organize own work to meet deadlines
• Research, develop and present root cause analysis presentations to mid-level management (supervisors/managers).

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+ year(s) data analysis and / or audit experience within the healthcare industry.
• 1+ year(s) experience in managing cross functional projects and making presentations
• 1+ year customer service experience
• Provider data loading experience (NDB and/or CSP Facets)

PREFERRED QUALIFICATIONS:

• Intermediate level proficiency in tracking, trending and reporting on metrics
• Intermediate excel knowledge
• Strong organizational and interpersonal skills
• Intermediate proficiency in Microsoft Office
• Previous coaching/buddy experience
• 1+ year(s) experience with provider data (demographic and/or contractual)
• 1+ year(s) experience with quality programs and process improvement initiatives
• 1+ year(s) experience with claims processing systems such as COSMOS, UNET and/or CSP
• 6+ mo experience with workforce effectiveness practices
• Experience writing policies and procedures
• Experience in Provider Data Operations workflow tools (PhyCon, CORE, etc.)

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 5 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none. This is no small opportunity. It's where you can do your life's best work.(sm)

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

COLORADO RESIDENTS ONLY: The hourly range for Colorado residents is $17.12 to $30.34. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

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: data loading, data analyst, analytics, database, Data specialist, telecommute, remote, work from home, work at home, WFH, WAH, hiring immediately, #RPO

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