Associate Provider Installation Specialist TRICARE - Shelton, CT - Full-time / Part-time

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)
Positions in this function are responsible for the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials. Positions are also responsible for overall provider contract and amendment loading and processing using various databases. May include auditing contract loads for adherence to quality measures and reporting standards. Basic, structured, standard approach to work.
 
Primary Responsibilities:

Apply basic knowledge of theories, practices and procedures in a function or skill
Perform routine or structured work
Respond to routine or standard requests
Use existing procedures and facts to solve routine problems or conduct routine analyses
Depend on others for instruction, guidance or direction

Required Qualifications:  

High School Diploma/GED with 2+ years in a corporate setting
United States Citizenship
Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86
NAC clearance     
1+ years of managed care or medical insurance experience, specifically in credentialing providers, working in provider relations, medical billing or quality management
Microsoft Word experience (creating documents)           
Microsoft Excel experience (sorting, filtering, basic understanding of Excel)
Preferred Qualifications:  

NDB Experience          
PIMS experience  
Bachelor's Degree
As a requirement of UnitedHealth Group’s contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 http://www.opm.gov/forms/pdf_fill/sf86.pdf, (the National Agency Check or “NAC”).  Successful completion of the NAC process is a requirement for continued employment in this role.  NAC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense.  Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received.  Failure to obtain final NAC approval will result in termination from this role.  
   
UnitedHealthcare Military & Veterans is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.  We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the (list region post award).  Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.  It's not just business as usual. It is one of our proudest endeavors. If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth care Military & Veterans.
This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.
   
   
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.

Job Keywords:  Associate Provider Installation Specialist TRICARE, Shelton, CT, Connecticut