Sr. Mgr. Provider Data - Kelsey Seybold - Pearland, TX.

UnitedHealth Group; Pearland (TX); On-site; Confidential; Full time

Benefits offered by this job

Equity stock purchase

401k contribution

Incentive programs

Job summary

UnitedHealth Group is seeking a Sr. Manager of Provider Data Management to oversee daily operations for provider data across multiple entities, including a unified SQL-based data source supporting claims, UM systems, and provider directories.

The role requires extensive SQL, Excel, Access, and Microsoft Data Services experience, strong knowledge of CMS regulations, and excellent written and verbal communication skills.

Qualifications

• Extensive experience with SQL servers, Excel, Access, Microsoft Data Services.
• Knowledge of CMS regulations and managed care payment methodologies.
• Proficiency in Microsoft Office.
• Proven excellent written and verbal communication skills.

Responsibilities

• Oversees daily operations for provider data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT.
• Maintains a unified SQL-based provider data source supporting downstream systems such as claims, UM systems, and provider directories.

Skills

SQL servers

Excel

Access

Microsoft Data Services

CMS regulations

Microsoft Office

Communication skills

Tools

EPIC

MD Staff

Provider data management software

SQL Server

Job description

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

Primary Responsibilities:

• The Sr. Manager of Provider Data Management oversees daily operations for provider data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT
• Responsibilities include maintaining a unified SQL-based provider data source supporting downstream systems such as claims, UM systems, and provider directories

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:

• Extensive experience with SQL servers, Excel, Access, Microsoft Data Services
• Knowledge of CMS regulations and managed care payment methodologies
• Proficiency in Microsoft Office
• Proven excellent written and verbal communication skills

Preferred Qualifications:

• 10+ years of health care or health plan experience
• Supervisory or management experience in a managed care environment
• Experience with MD Staff, EPIC, provider data management software, SQL server

Working Environment & Physical Demands

• Office-based environment, minimal noise
• Regular computer use and extended sitting
• Occasional walking or bending; ability to lift up to 25 lbs.

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 salary for this role will range from $91,700 to $163,700 annually 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.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.