SanFranRecruiter Since 2001
the smart solution for San Francisco jobs

Provider Data Consultant - Telecommute

Company: UnitedHealth Group
Location: San Francisco
Posted on: September 24, 2022

Job Description:

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing -your life's best work.(sm) You'll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges. Primary Responsibilities:

  • Support the behavioral health provider operations team by leading the expansion of the Pricing Integrity Auditing program into the national delegates provider space. This program is primarily driven by a rules-based audit that assesses the quality of provider pricing data based on demographic and contract systems data
  • Collaborate with operations experts to define technical needs and then produce new audits. In addition, support the existing audit builds. Work will be heavily dependent on legacy, widely distributed applications (Microsoft Access, Excel, SQL Server, etc) but also will be geared toward adopting new technology options 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:
    • HS Diploma/GED Equivalent
    • 2+ years of experience working directly with provider data
    • Experience with 2 of the following:
      • Leading cross-functional workgroups
      • Claim payment and pricing
      • Defining detailed requirements for macros, automation, or user tools
      • Writing SOPs (standard operating procedure documents)
      • Intermediate level proficiency with Microsoft Excel
      • Intermediate expertise with SQL
      • Intermediate expertise with Microsoft Access Preferred Qualifications:
        • Bachelor's Degree
        • Experience working directly with provider data in Facets (OHBS, NDB, COSMOS, and/or CSP)
        • Experience with Optum Behavioral Health
        • Experience with table structures in Facets
        • Experience in an operational role at UHG
        • Ability to gather, analyze, interpret, and present data to various audiences
        • Demonstrated ability to communicate ideas clearly and concisely through verbal -and written communication
        • Experience working in a fast-paced environment with rapidly changing priorities
        • Ability to manage a self-directed workload with a clear understanding of workflow and team dependencies
        • Time/project management, problem solving, organization, and analytical skills To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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.

Keywords: UnitedHealth Group, San Francisco , Provider Data Consultant - Telecommute, Professions , San Francisco, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

San Francisco RSS job feeds