Provider Network Priority Management Analyst Job at UnitedHealth Group

UnitedHealth Group La Crosse, WI 54601

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Provider Network Priority Management Analyst role is responsible for overseeing and directing customer orders where a provider is not available for service delivery. This will include identifying provider coverage gaps, identifying potential recruiting providers, and updating Network Contract Managers on customer needs to fulfill order volume.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Triage orders incoming to provider network to identify network options available to provide service
  • Manually assign qualified providers to orders within the contractually allowed mileage radius of the patient’s home zip code. Identify reasons for manual assignment, initiate corrective action for improvements and efficiencies as required
  • Assign work to other areas of Provider Network as applicable to needs of the order/customer
  • Provide explanations and information to others on topics within area of expertise
  • Track and report contracting efforts to successfully monitor pending orders in assigned territories for quick order assignment and scheduling
  • Attend POD discussions to speak to held orders that are a work in progress to provide updates to internal and external customers

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED (or higher) OR 2+ years of network management, coverage analytics, data management, and/or customer service experience
  • 1+ years of network management, coverage analytics, data management, and/or customer service experience
  • Intermediate proficiency with Microsoft Office Suite (Word, Excel, Outlook, Powerpoint)
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • 6+ months of medical, dental or healthcare insurance experience
  • 6+ months of experience with auditing and analyzing healthcare providers
  • Beginner level proficiency with medical database (i.e. MedNet)

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters , as an essential job function. UnitedHealth Group adheres to all federal, state, and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. We built an entire organization around one giant objective; make the health system work better for everyone. 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 an elite team. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.( sm )

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Colorado, Connecticut, Nevada or New York City Residents Only : The salary range for Colorado residents is $21.68 to $38.56. The salary range for Connecticut / Nevada / New York City residents is $23.94 to $42.40. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and 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.

#RPO




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