Associate Provider Network Support Specialist - Edison, NJ

Position Description:
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 Associate Provider Network Support Specialist will support teams 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. Associate Provider Network Support Specialists are also responsible for overall provider contract and amendment loading and processing using various databases. Responsibilities may also include auditing contract loads for adherence to quality measurers and reporting standards. 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.
This position is responsible for all activities related to MLTSS/HCBS provider credentialing/credentialing as well as monitoring and tracking of network accessibility for this provider universe.
Exhibit strong interpersonal and oral communication skills including telephone etiquette.
Exhibit strong organizational skills, ability to prioritize and meet deadlines from multi-staff members within the department.

Required Qualifications:


High School Diploma or GED
1+ year of work experience in a corporate setting
2+ years experience utilizing Microsoft Excel for V-look up's, formulas, Data Analysis, and Pivot Tables
2+ years experience utilizing Microsoft Word for creating and editing documents
Experience with Administrative meeting coordination (taking minutes; setting up web-ex; inviting attendees gathering and communicating meeting agenda) Preferred Qualifications:

Bachelor's Degree
Managed care or medical insurance experience, specifically in credentialing providers, working in provider relations, medical billing or quality management.
Data Analysis experience
Project Management experience

Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place 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.