UnitedHealth Group Senior Provider Data Analyst - Farmington, CT in Farmington, Connecticut
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)
As part of the OptumCare Network of CT, the Senior Provider Data Analyst will be 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. 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. This is a telework position with 3 days a week in our Farmington office.
If you are located in the state of CT, you will have the flexibility to telecommute* as you take on some tough challenges.
Receive data from multiple inbound sources (e.g., spreadsheets, email, claim)
Format data for loading into respective system (i.e., through automated load)
Pull and organize data correctly to answer specific business questions
Research multiple databases to pull in the correct or needed information
Demonstrate an understanding of and apply business strategies, rules, and procedures as appropriate
Analyze submitted data to ensure the right business processes have been followed and/or determine appropriate actions or decisions (e.g., change process; modify strategy)
Analyze data in order to identify data anomalies and discrepancies
Identify root causes of data issues and engage appropriate areas to correct causes
Lead or participate in applicable projects related to analysis and reporting of provider data
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.
Bachelor’s Degree or equivalent experience
Advanced Excel - strong Data Analytics skills
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
Understanding of claims platforms
Understanding of contracting strategies (e.g., facility; ancillary; physician) in order to support field objectives / MBOs
Understanding of key provider / contract / network performance and/or risk adjustment indicators (e.g., prevalence rate; recapture rates; MWOV; RAF scores)
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)
*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.
Job Keywords: Senior Provider Data Analyst, Network Provider, Data Analysis, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH, Farmington, CT, Connecticut
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