UMR Network Specialist
At UnitedHealthcare, were 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 lifes best... work.SM
Positions in this function are generally responsible for the successful implementation and maintenance of customers 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 UMRs network offerings with customers, leveraging analysis and product knowledge.
Youll 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
Youll 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 Groups 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, youll 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 everyoneof every race, gender, sexuality, age, location, and incomedeserves 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 Now
Positions in this function are generally responsible for the successful implementation and maintenance of customers 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 UMRs network offerings with customers, leveraging analysis and product knowledge.
Youll 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
Youll 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 Groups 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, youll 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 everyoneof every race, gender, sexuality, age, location, and incomedeserves 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 Now