Job: Provider Data Consultant, Healthcare Alliance

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Jobing Description

UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 16 million people who receive our unique blend of packages and programs. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.


We're seeking a flexible self-starter with an investigative nature to fill a Provider Data Consultant independent contributor role on our Provider Network Expertise and Policy team in the area of system configuration of provider networks and other system projects. In this role you would enjoy tremendous opportunity for growth, as well as the chance to be a recognized subject-matter-expert on healthcare provider data. The position would focus on Healthcare Alliance provider networks and data. You would also gain exposure to all areas of the company as you focus on the following responsibilities:

Develop configuration rules for new provider networks on NDB and COSMOS for Healthcare Alliance business

Triage and analyze new provider Healthcare Alliance network initiatives identifying key impacts to operational departments and their processes

Project manage the operational implementation of process or system enhancements

Provide business, operational and workflow expertise into provider related system enhancements for Healthcare Alliances for NDB and other systems, including use of this data by claim, care management and service systems

Support system testing activities where warranted, as part of operational implementation of new processes or system changes including writing of and review of test conditions for Healthcare Alliance providers

Write or review training materials related to your project

Lead cross functional business process design including development of process diagrams

Speak at national calls to present new processes or system changes to internal departments including Network Management, NCST, NDM, CCI or other healthcare operations staff

Drive a diverse set of special projects to completion, identifying and engaging staff from impacted departments to create and implement solutions to issues

Troubleshoot provider data issues associated with NDB and COSMOS or other systems which store provider data for Healthcare Alliance provider networks

Contribute expertise to or update provider data configuration related policies and procedures; monitoring these documents through the development and approval process as part of operational implementation for Healthcare Alliance providers

Skills / Requirements

3 - 5 years experience with healthcare provider data and its business usage including contracting is required

2-3 years NDB and COSMOS experience required

Healthcare Alliance provider networks experience preferred

Conceptual thinking capability

2-3 years experience with a project management focus

2-3 years experience presenting complex concepts to virtual and in person audiences

2 to 3 years prior professional writing experience is required, along with experience managing projects and making presentations.

Willingness to handle a variety of different types of project assignments vs. a fixed role/function

2 to 3 years experience in successfully managing one or more major projects, which integrates multiple business areas or systems.

Strong business partner focus.

Ability to prioritize in an environment of rapid change

Solid organizational and interpersonal skills

Self-starter; team player; quality minded; focused; committed; work independently

Able to stay committed to long-term project goals

Able to direct project outcome based on long term business objectives.

Candidates must have Microsoft Office skills. Prior experience with Visio and Microsoft Project preferred

Bachelor's degree preferred.



UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.



Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.