Senior Network Program Specialist - Southeast US

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)

The Senior Network Program Specialist is part of a team responsible for successful program design and compliance, network assessment and

Primary Responsibilities:

• Assess and interpret customer needs and requirements


• Identify solutions to non-standard requests and problems


• Analyze, report and manage data to support the initiative of the national team


• Work with minimal guidance; seek guidance on only the most complex tasks


• Provide explanations and information to others on difficult issues


• Work with the new strategy team to track initiatives, especially HEDIS measures, to improve the quality and affordability of care


• Act as a resource for others with less experience

Required Qualifications:

• 3+ years of experience with network data management in a managed care environment


• 2+ years exposure to provider contracts


• 2+ years of experience in provider data analysis


• 2+ years of experience working with reporting tools and generating effective reports


• Intermediate proficiency in MS Office Excel and PowerPoint

Desired Qualifications:

• Previous exposure to STARS; experience working with providers to improve STARS ratings


• Network Contracting or Provider Relations experience


• Previous experience working directly with providers


• Experience working on large projects


• 2+ years presentation experience


• Proficiency with MS Access


• 3+ years of experience with claims processing or resolution


• 3+ years of experience with medical coding


• Excellent communication skills


• Undergraduate or higher level degree

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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.

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