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Out of Network Programs Trainer - Unet / NDB - Telecommute

UnitedHealth Group

Green Bay, WI
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Job Details

740048 Out of Network Programs Trainer Unet NDB Telecommute

Out of Network Programs Trainer - Unet / NDB - Telecommute (740048)

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)

In this position you will be responsible for the successful development, implementation and ongoing maintenance of a OON program operations training program. You will work in partnership with OON Leaders to develop a training program, including training material and coordinate training of new staff.  Collaboration with both OON leaders and Programs Managers will be necessary to identify updates needed to OON Policies and Procedures. 


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


Primary Responsibilities:

  • Work with Out of Network Leaders to develop training materials for OON programs
  • Train new OON staff in OON functions
  • Present overview of OON programs as requested
  • Maintain and update OON policies and procedures for OON functions with input and approval from OON Leaders


Required Qualifications:
  • 5+ years of claims processing and adjustment handling, provider data maintenance

  • 5+ years of knowledge of processes or experience in member and provider services and rework

  • 5+ years of system experience with Unet, NDB, ORS or other claims processing and support systems

  • 3+ years of experience  with iSET, Knowledge library, MyCoach
  • 2+ years of experience in establishing or working within SharePoints, shared drives, creating power point presentations and visio workflows

  • Understanding of OON programs, claim handling from initial pricing to disputes and appeals.

  • Strong research and analytical skills

  • Intermediate proficiency in MS Word and Excel
  • Excellent written and verbal communication skills
  • Ability to work with minimal direction
  • Ability to collaborate with management on training materials and P&P updates
  • Ability to give presentations on the OON programs to other areas
  • Ability to convey complex information to others and make it more easily understood.
  • Ability to prioritize multiple tasks in an environment of rapid change
Preferred Qualifications:
  • Experience in creating training programs
  • Project management experience
  • Advanced proficiency in Excel
  • Webstrat application experience
  • Powerpoint proficiency

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 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


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: Resolution, Grievance, Analyst, Telecommute, Telecommuter, Green Bay WI, Wisconsin, United States


Job Details

  • Contest Number740048
  • Job TitleOut of Network Programs Trainer - Unet / NDB - Telecommute
  • Job FamilyNetwork Management
  • Business SegmentUnitedHealthcare Networks

Job Location Information

  • Green Bay, WI
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

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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