Network Program Specialist

Posted 4 Hours Ago
Be an Early Applicant
Columbus, OH, USA
In-Office
24-43 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Support development of clinically integrated network teams by performing network analysis, strategy development, and program implementation to improve quality and affordability. Obtain, validate, and analyze data (including EHR/Epic), recommend network utilization or expansion, generate reports, scan and review medical records, and manage administrative project details while driving committee decisions.
Summary Generated by Built In
Requisition Number: 2372010
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.
#RPO, #RED

Skills Required

  • 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
  • Experience working with EHR software (such as Epic)
  • Project management experience
  • Experience working with providers
  • Ability to convey complex information clearly
  • Self-driven and able to accomplish goals independently
  • Willingness to collaborate with others

What the Team is Saying

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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