Network Program Specialist

UnitedHealth Group; Columbus (OH); On-site; Confidential; Full time

Job summary

UnitedHealth Group is seeking a healthcare networks specialist to analyze provider networks and support enterprise-wide Clinically Integrated Network initiatives. You will use analytics to determine how clinical providers group by specialty and service line, collaborating with teams to drive strategic decisions.

Ideal candidates will have healthcare experience, comfort with reporting tools, and the ability to travel within southern Ohio region.

Qualifications

• High school diploma / GED
• 1+ years of healthcare background with medical terminology and familiarity with clinical issues
• 1+ years' experience with reporting tools and generating effective reports
• Beginner level of experience with Microsoft Office
• Ability to travel to offices 75% of the time within the southern Ohio region

Responsibilities

• Develop enterprise-wide Clinically Integrated Network teams for areas like oncology or cardiology
• Perform network analysis and strategy development and implementation
• Drive program design to improve quality and affordability
• Obtain, validate and analyze data on network availability and access
• Recommend utilization or expansion of networks for various products
• Work with EHR software such as Epic
• Scan documents and review medical records
• All other duties as assigned
• This role balances heavy administrative tasks with data-driven decision support

Skills

Data analysis

Reporting tools

MS Office

Education

High school diploma / GED

Tools

Epic

Job description

The more you do, the more you learn. And as you learn you find new doors opening that challenge you to bring your best. This specialist role with UnitedHealth Group will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. Your expertise in provider networks can help us build in the next phase of evolution. In this role, you'll use your expertise and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

Primary Responsibilities:

• Help develop enterprise-wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology
• Perform network analysis and strategy development and implementation
• Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness
• Obtain, validate and analyze data as you analyze network availability and access
• Recommend utilization or expansion of networks for various products
• Can expect to work with EHR software, such as Epic
• Scanning documents and review of medical records
• All other duties as assigned
• This is no easy task. There are a lot of details to manage, key projects to support, a heavy administrative role and reliance on your analysis to drive committee decisions

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
• 1+ years of healthcare background with medical terminology and familiarity with clinical issues
• 1+ years' experience working with reporting tools and generating effective reports
• Beginner level of experience with Microsoft Office
• Ability to travel to offices 75% of the time within the southern Ohio region

Preferred Qualifications:

• Project management experience
• Experience working with providers

Soft skills:

• Ability to convey complex information to others and make it more easily understood
• Internally drive and accomplish goals
• Willing to collaborate with others

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

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