Provider Install Specialist - Cosmos - Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)

Contract Research Analysts are responsible for research and investigation of potential provider contract set up issues received from multiple internal business partners. This role is responsible to thoroughly review requests to validate provider contract set up by researching claims, systems, and applicable policies. They also facilitate contract corrections.

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

Primary Responsibilities:

• Research provider contract set up to identify possible issues and investigate non-standard requests
• Submit PCRL workflow rate corrections and special project requests to remediate defects
• Communicate with submitter to obtain clarification, provide status, and final resolution
• Uses pertinent data and facts to identify and solve a range of problems within area of expertise
• Works in multiple systems, platforms, and provider types
• Escalate issues to leadership as necessary
• Meet established performance standards for productivity, quality, and timeliness

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
• 18+ months experience in administering and/or interpreting contracts within UHC contract environment
• 18+ months internal or external customer response / customer service experience
• 1+ years of experience working with applicable UHC core systems (COSMOS)
• Knowledge of business processes that impact contract loading
• Intermediate proficiency of Microsoft Office applications
• Proven ability to identify trends and recommend solutions
• Proven solid prioritization/organizational skills in a fast-paced environment
• Proven solid interpersonal and communication skills (both verbal and written)

Preferred Qualifications:

• Undergraduate degree
• 18+ months medical coding experience (HCPCS, CPT-4, Revenue, DRG, ICD-10, etc)
• Load and/or audit experience
• Knowledge of UHC products and reimbursement policies
• Proven ability to work independently with minimal guidance

Values Based Competencies:

• Integrity Value: Act Ethically
  • Comply with applicable law, regulations and policies
  • Demonstrate integrity
• Compassion Value: Focus on Customers
  • Identify and exceed customer expectations
  • Improve the customer experience
• Relationships Value - Act as a Team Player
  • Collaborate with others
  • Demonstrate diversity awareness
  • Learn and develop
• Relationships Value - Communicate Effectively
  • Influence others
  • Listen actively
  • Speak and write clearly
• Innovation Value - Support Change and Innovation
  • Contribute innovative ideas
  • Work effectively in a changing environment
• Performance Value - Make Fact-Based Decisions
  • Apply business knowledge
  • Use sound judgment
• Performance Value - Deliver Quality Results
  • Drive for results
  • Manage time effectively
  • Produce high-quality work

Careers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $22.45 to $43.89. 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.

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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.