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Manager, Provider Data - USA Telecommute - Charlotte, NC

Company: UHG
Job type: full-time
Category: Information Technology and Services


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Job description

Job 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) This Manager of Provider Data will lead a team supporting migrations for new Migration initiatives being deployed. The role maintains active relationships with UHN and network strategy areas to support continuous improvement of end to end processes and provider data quality. The role surveys the needs of each Health Plan on issues related to provider data. The role maintains a working repository of provider data migration documentation, to include progress, risks, business climate changes, regulatory requirements, mailing dates, mass mailing schedules, prioritization of current issues, and documentation supporting migration process. The role also works closely with IT Project Managers, to include instituting the appropriate IT project requests. Primary Responsibilities: * Provide leadership and guidance to team managing Migration and other projects * Provide subject matter expertise for NDB system enhancements including but not limited to contracts, demographic data, system interfaces with NDB, etc * Initial creation of entries for NDB or other provider file's configuration rules for demographics, contracts, contract pointers, networks, related to business implementation of system enhancements * Define provider data setup and business configuration rules for provider data * Provide business, operational and workflow expertise into provider related system enhancements for NDB and other systems * Support system testing activities where warranted, as part of operational implementation of new processes or system changes * Lead cross functional business process design including development of process diagrams * Conduct Operational Impact Assessments related to your projects, communicating the proposed changes to operational teams and helping construct the resource needs within those teams * Support reviews of training documentation for projects * Speak at national calls to present system configuration rules or new initiatives or system changes to internal departments * Troubleshoot provider data issues associated with NDB, UNET, COSMOS and other systems which store provider data * Driving a diverse set of special projects to completion, identifying and engaging staff from impacted departments to create and implement solutions to issues Required Qualifications: * 5 years experience working with Provider Data in a managed care setting * 3 years experience working with NDB * 3 years managing one or more major projects; preferably those that involve multiple business systems or departments * 1 years developing and delivering presentations, preferably in large project team meetings * Strong MS Office skills * Intermediate Excel skills Preferred Qualifications: * Facets, COSMOS, NICE, and / or UNET experience * 2 years writing experience * Effective time management and presentation skills * 2 years of claims experience, preferably on UNET * 2 years of IT lifecycle experience * Ability to handle a variety of different types of project assignments * Detail oriented with strong analytic skills * Strong business partner focus * Conceptual thinking capability * Ability to prioritize in an environment of rapid change * Solid organizational and interpersonal skills * Self-starter; team player; quality minded; focused; committed; work independently * Able to stay committed to long-term project goals * Able to direct project outcome based on long term business objectives * Previous supervisory / team leader and / or mentoring experience Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work. SM 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


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