Provider Services Analyst - Remote In Indiana

The Provider Services Analyst will work within the health plan to ensure we meet Indiana Medicaid program requirements for Hoosier Care Connect and PathWays for Aging. This role will handle a variety of tasks that could change from day to day, including but not limited to creating provider communications, assist with updating the Indiana provider website, and reviewing provider data and claims to ensure accuracy. The Provider Services Analyst will also assist providers via phone or email.

If you are located within the state of Indiana, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Assist in end-to-end provider claims
• Assist in efforts to enhance ease of use of physician portal and future services enhancements
• Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers
• Support development and management of provider networks
• Help implement training and development of external providers through education programs
• Identify gaps in network composition and services to assist network contracting and development teams
• Reviewing data to ensure compliance with Indiana Medicaid program

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:

• 3+ years of experience in a provider call center environment
• 2+ years of provider relations and/or provider network experience
• Intermediate level of proficiency in claims and issue resolution
• Ability to review data against health plan standards
• Resident of Indiana

Preferred Qualifications:

• Knowledge of Indiana Medicaid
• Knowledge of Medicare
• Knowledge of Facets

• 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.