Job: Provider Data Consultant, Provider Types and Specialties

This posting has expired and is no longer available.

Browse Similar Jobs: Other/General

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 support role on our Network Expertise and Policy team in the area of system coding of provider types across NDB and other provider systems. 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. You would also gain exposure to all areas of the company as you focus on the following responsibilities:

Skills / Requirements

3 - 5 years medical coding (RHIT, CCS,CCA, or CHDA) or Registered Nursing background required.

Reimbursement policy experience a plus.

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

NDB experience required, Facets or COSMOS, or NICE, or Pulse experience a plus

3 - 5 years of claims experience on UNET, COSMOS, NICE, Pulse or Facets preferred

Conceptual thinking capability

2 to 3 years prior professional writing experience is required, including writing of Policies and Procedures

At least 1 year of prior experience with a Policy and Procedure governance and sign off process

2 to 3 years experience in presenting information at national forums or in large project group meetings

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.