Senior Network Program Specialist – Telecommute – UnitedHealth Group – Eau Claire, WI

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

Primary Responsibilities:

• Help develop enterprise wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology
• Perform network analysis and strategy development and implementation
• Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
• Obtain, validate and analyze data as you analyze network availability and access
• Recommend utilization or expansion of networks for various products
• Coach, provide feedback, and guide others

This is an opportunity that comes with great challenge. You’ll be focused on value-based contracting for a particular health plan along with supporting the leading efforts of the business. This position will be focused on analysis, running reports, disbursement of checks to providers, organizing booklets or educational material and more.

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:

• Undergraduate degree or equivalent work experience
• 3+ years’ experience with network data management in a managed care environment
• 3+ years’ experience in provider data analysis
• 3+ years’ experience with claims processing or resolution and medical coding
• 2+ years’ experience working with reporting tools and generating effective reports
• 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 a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

• 3+ years’ experience with claims processing systems and provider data bases as well as claims system testing
• Project management experience
• Ability to convey complex information to others and make it more easily understood

Careers with UnitedHealthcare. Let’s talk about opportunity. Start with a Fortune 10 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)

Colorado Residents Only: The salary range for Colorado residents is $53,300 to $95,100. 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.

*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: Sr. Network Program Specialist, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote