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***Network Program Specialist - West Valley City, UT

UnitedHealth Group


Location:
West Valley City, UT
Date:
11/17/2017
2017-11-172017-12-16
Job Code:
737717
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Job Details

737717 Network Program Specialist West Valley City UT

***Network Program Specialist - West Valley City, UT (737717)

Position Description

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)

 

The Network Program Specialist is responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation. This includes enterprise-wide Clinically Integrated Network teams that focus on specific clinical area Lines of Service (e.g., Cardiology, Women's Health, Oncology, etc.) to improve the quality and affordability through improvements in appropriateness and effectiveness. Network Program Specialists may perform network analysis and strategy development and implementation; obtain data, verify validity of data, and analyze data as required, and analyze network availability and access. Other responsibilities may also include making recommendations regarding use, expansion, selection of networks for various products based on that analysis.

 

Primary Responsibilities:

  • 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

  • Provide explanations and information to others on topics within area of expertise

 

Required Qualifications:

  • Undergraduate degree or related experience

  • 2+ years’ experience within managed care or the medical insurance industry

  • 1+ years’ experience working with reporting tools and generating effective reports

  • Intermediate proficiency in MS Office (Word, Excel, Outlook and PowerPoint)

Preferred Qualifications:

  • Experience with claims processing systems and provider databases

  • Experience in provider data analysis

  • Experience with claims processing or resolution

  • Experience with medical coding

  • Prior claims system testing experience

  • Project management experience

  • Ability to convey complex information to others and make it more easily understood

  • Ability to prioritize multiple tasks in an environment of rapid change

  • Excellent phone presence and communication skills

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)

 

 

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: Network Program Specialist, managed care, medical insurance, reporting, West Valley City, UT, Utah

 

Job Details

  • Contest Number737717
  • Job Title***Network Program Specialist - West Valley City, UT
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • West Valley City, UT
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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