3 days old

Provider Configuration Analyst - Telecommute

Las Vegas, NV 89101 Work Remotely
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Working in Operations at UnitedHealth Group is one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)

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

Primary Responsibilities:


  • Load provider configuration requirements in Facets to ensure claims pay correctly related to provider contracts, agreements, authorization and referrals
  • Interpret provider contracts, fee schedules and rates in order to set up configuration correctly to ensure providers are paid according to the source of truth(s)
  • Collaborate with stakeholders to gather, assess, interpret and document customer needs and requirements
  • Work with local markets on escalations to resolve configuration issues
  • Partner with documentation specialist to assist with job aide/SOP content related to provider configuration processes
  • Deliver refresher and cross training to provider configuration analysts as needed
  • Identify and analyze issues to provide solutions to respond to internal and external customer needs
  • Research claims issues to determine configuration gaps, update configuration as applicable
  • Audit configuration against contract requirements to verify configuration following source documentation
  • Serve as a SME resource to other team members and business partners related to contract configuration
  • Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected attendance
  • Assist with monthly capitation payments and reconciliations
  • Computer proficiency including, but not limited to, ability to learn new computer system applications
  • Ability to multi-task
  • Excellent oral and written communication skills
  • Ability to work in a fast-paced, dynamic, rapidly changing environment
  • Strong aptitude for working in a production driven environment
  • Work with minimal guidance and supervision

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.

Posted: 2020-05-23 Expires: 2020-06-22

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Provider Configuration Analyst - Telecommute

UnitedHealth Group
Las Vegas, NV 89101

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