UnitedHealth Group is hiring

Provider Contract Installer job at UnitedHealth Group, Eden Prairie

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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)

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


Here's an opportunity to vet your skills and vision as a manager and innovator. Take on this leadership role with UnitedHealth Group and you'll be part of a team that's reshaping how health care works for millions by building and maintaining effective, accessible provider networks. You'll help hire, train, develop and lead a team of Provider Contract Installation staff. The team mission is to ensure accurate loading, which includes setting up plan structure and billing, eligibility collection and database loading. You'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 6 leader. Get ready for a high impact role. This position is challenging because it's a production environment that is extremely fast paced. You'll be working with multiple teams updating demographics and making updates in the network database system.

Primary Responsibilities

  • Research and develop applicable business rules that support product reimbursement methodologies and policies for existing and new business opportunities
  • Develop and submit fee schedules and/or provider rates to claim pricing platforms
  • Perform post-load quality analysis review on relevant claim platform submissions and provide correction instructions if necessary
  • Write technical specifications or business requirements that support the development of business applications or existing system enhancements
  • Perform and/or review user acceptance testing of relevant applications (e.g., support fee schedule; rate submissions; fee builder tool; claim editing system; claim pricing system)
  • Write internal operational and/or reimbursement policies that support global functions
  • Work with business partners to develop and/or create provider agreements and payment appendices to reflect terms of the provider reimbursement strategies
  • Research new opportunities to improve operating efficiencies, implement medical cost savings and/or reduce administrative expenses, and provide appropriate recommendations to applicable audiences
  • Review websites to research any Fee schedule changes and submit on Auto load to PCRL to ensure most appropriate pricing is documented and loaded in our systems

What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Hiring immediately
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • More information can be downloaded at: http://uhg.hr/uhgbenefits

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 or GED
  • 1 year of experience supporting fee schedule load i.e.
    • Experience with research and development experience that support product reimbursement methodologies and policies for existing and new business opportunities (e.g., Medicare; Medicaid; commercial)
    • Experience with development and submission fee schedules and/or provider rates to claim pricing platforms (e.g., CSP FACETs, COSMOS; UNET/TOPS)
    • Experience performing post-load quality analysis review on relevant claim platform submissions and provide correction instructions where applicable.
  • 1 year experience working on CSP FACETs
  • 6 months experience with provider contract and interpretation of the State requirements but not limited to RFPs and contracts.
  • Intermediate level of proficiency in Microsoft programs including Excel and Word

Preferred Qualifications

  • Undergraduate degree or equivalent
  • Experience in medical billing, claims processing or contract installation including experience with facility or ancillary contract reimbursement methodologies
  • Claims processing or resolution experience
  • Experience managing multiple projects concurrently, while maintaining a high level of quality and commitment to project timeframes
  • Experience training others on core job functions
  • Experience in a role exposing you to provider contract

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. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. 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 high performance teams against sophisticated challenges that matter. 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 or Nevada Residents Only: The salary range for Colorado residents is $26.15 to $46.63. The salary range for Connecticut / Nevada residents is $28.85 to $51.30. 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.

Job Keywords: #RPO,hiring immediately, CSP FACETs, Provider Contract Installer, remote, WFH WAH, work from home, work at home, medical billing, claims processing, contract installation

Job country: United States

City: Eden Prairie

Category: Business Operations Specialists, All Other

Location: Eden Prairie, MN, United States

Job posted 2022-06-04

This job is expired

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