Manager of Behavioral Provider Data - Data Optimization - Telecommute

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)

Join us to focus on behavioral provider network implementation and migration projects as well as corporate initiatives that enable higher quality provider data for claim and directory functions.  Develop and complement effective/strategic business solutions through research and analysis and implementation of provider data projects and processes.   

The selected candidate will be viewed as a subject matter expert in the area of behavioral provider data. He/she will be required to support a wide range of projects within the Provider Network Operations area within Behavioral Services.  You will gain exposure to many areas of the company.

Primary Responsibilities: 

• Utilize your skills and knowledge to explain or define use of behavioral provider data in credentialing, claim processing, clinical processes, directories, customer care systems, and provider portals, translating  provider data elements and configuration rules on OBHS Facets, NDB, COSMOS, RV Facets UNET, or other platforms


• Identify operational impact and perform staffing analysis activities related to new processes, migrations, implementations or system enhancements


• Present monthly dashboard statistics related to special projects related to data quality and analysis or migrations and implementations


• Take an active role in managing effectiveness and results for  selected system enhancement projects, providing business input during RSA processes including PRD, SSD and system specification documents


• Implement critical corporate objectives related to provider data that affect claim or directory accuracy, including tracking and trending results throughout the project lifecycle and creating reports for senior management


• Create provider data scenarios and examples to illustrate configuration concepts to internal teams in Network Operations, Optum Technology, Project Managers or other project support staff


• Confirm and validate accuracy of the behavioral network loading across platforms, in support of high quality outcomes for migration and implementation initiatives


• Contribute to the team's overall technical, business and process knowledge including selection of and training on business and technical topics tools


• Develop and document test conditions for behavioral provider data enhancements or operational issue root cause analysis; this includes the identification of applicable data maintenance scenarios and provider types for the specific project; the systems included may be OHBS Facets, CSP Facets, NDB, UNET, COSMOS or other platform


• Lead cross functional business meetings to identify root cause and improvement opportunities related to behavioral provider data issues


• Incorporate best practices, learning from experiences of similar Operational  teams involved in provider data support roles

Required Qualifications:

• 2+ years of experience with provider network implementation or migration projects


• Demonstrated experience with process improvement, workflow, benchmarking and / or evaluation of business processes


• 2+ years of RSA IT lifecycle experience required including experience with PRD, SSD, IET, SRI document review and approval


• 2+ years of experience with handling of provider data via queries,extracts, macros, or databases and quality processes pertaining to ensuring accurate mass data loading


• Prior experience in successfully managing one or more major projects, which integrates multiple business areas or systems

Preferred Qualifications:

• 3+ years of experience with behavioral healthcare provider data and its business usage (or with medical or physical health network)


• Bachelor's degree in Business, Finance, Health Administration or related field or 5+ year of experience in business/finance analysis


• 2+ years of prior technical/business writing experience is preferred including the ability to communicate effectively with multiple levels of management/staff


• OHBS Facets, NDB and COSMOS experience preferred or equivalent experience on another provider system

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: 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.