Apply Now: UMR Network Specialist

Remote Full-time
Your next great career move starts here. We're looking for a UMR Network Specialist! This role in Remote not only offers a great job but also a vibrant community. This position requires a strong and diverse skillset in relevant areas to drive success. This straightforward role comes with a dependable salary of a competitive salary.   At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life’s best... work.SM
Positions in this function are generally responsible for the successful implementation and maintenance of customer’s network strategy and compliance with network requirements network assessment and selection, and program/product implementation. Obtains data, verifies validity of data, and analyzes data as required. May make recommendations regarding use, expansion and selection of networks based on analysis. Position champions UMR’s network offerings with customers, leveraging analysis and product knowledge.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:

Accountable for the full range of network solutions available to UMR customers, working with account management to recommend options and implement solutions. Identifies opportunities for customer savings and deliver analysis to support recommended solutions
Collaborate with business team members to review and clarify requirements and strategy criteria for all UMR network solutions
Assist business users in identifying appropriate network solutions for customers
Work with business partners, (e.g.) transitions, provider network operations, medical management, underwriting account management and network administration) to analyze, triage and resolve customer network issues
Perform as Back-up and support to the Network Specialist team
Cross functional requirements gathering, department consultation, and implementation of network solutions
Analyze advantages and limitations of multiple solutions options. Recommend preferred option. Communicate options to non-technical audiences

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:

High School Diploma / GED (or higher)
2+ years of hands-on professional experience using Microsoft Office including Excel, PowerPoint, Word and Teams
2+ years of experience working specifically with UMR claims processing system (CPS)

Preferred Qualifications:

Experience coordinating with relevant internal and/or external stakeholders to ensure that programs/networks/contracts are designed and implemented to meet local, regional, and/or national market guidelines

All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Nevada,
Connecticut,
New York, New Jersey,
Rhode Island, Hawaii or
Washington Residents Only
: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents is $23.22 to $45.43 per hour. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

#RPO #Green Apply Job! Ready for an Easy Start?This is a low-stress role with great rewards. If you're reliable and willing to learn, we want you. Apply now!

Apply Now
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Epic Analyst (II) - Prelude, Cadence/Grand Cent...

Remote Full-time

YouTube Channel Manager (Upload, Optimize, and Support Growth)

Remote Full-time

Marketing Scrum Master

Remote Full-time

[PART_TIME Remote] Sr Pricing Analyst, Specialty Markets (Remote)

Remote Full-time

**Experienced Full Stack Data Entry Specialist – Web & Cloud Application Development**

Remote Full-time

Senior Network Engineer (REMOTE)

Remote Full-time

Disability Quality Analyst - Remote

Remote Full-time

Product Owner, People Applications - Remote - Immediate Hiring for Talent Acquisition and Employee Experience Innovations

Remote Full-time

Part Time Administrative Assistant/Social Media Admin

Remote Full-time

**Experienced Administrative Data Entry Specialist – Work from Home Opportunity**

Remote Full-time
← Back to Home