3 hours

Provider Data Management Specialist - Phoenix, AZ

UnitedHealth Group
Phoenix, AZ
  • Job Code
778306 Provider Data Management Specialist Phoenix AZ

Provider Data Management Specialist - Phoenix, AZ (778306)

Position Description

Energize your career with one of Healthcare’s fastest growing companies.  


You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.


This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.


Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

The longer you go at this, the more you learn. And as you get stronger, you'll see more and more doors open 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. You'll bring a strong customer service focus to the installation and administration of provider contracts within various United Health Group systems. You'll find the impact you want and the training, resources, backing and opportunities that you'd expect from a Fortune 6 leader.

Provider Data Management (PDM) Specialists are responsible for ensuring the integrity and accuracy of provider data in all applications. PDM Specialists are expected to work collaboratively with all internal and external stakeholders in an effort to meet and / or exceed all regulatory and industry provider data quality and accuracy standards. PDM Specialists are responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials.

Primary Responsibilities:
  • Coordinate add, changes and terminations of contracted providers on behalf of CDO
  • Monitor and coordinate additions, changes and terminations for affiliated contracts from the Health Plan
  • Manage and resolve complex provider data issues, such as mass change updates, limited reconciliations and direct submissions of urgent requests
  • Create and maintain multiple databases along with the ability to provide appropriate reports and statistical data to other department designees for review, follow-up and resolution
  • Participate in the reconciliation and provider data projects
  • Act as the primary point of contact for provider research related to contract configuration
  • Receive, triage and process secure provider portal requests
  • Coordinate credentialing provider data from CDO to credentialing team
Required Qualifications:
  • High School Diploma / GED (or higher)
  • 3+ years of provider data management experience
  • 3+ years of work experience in a high matrixed corporate setting
  • Intermediate level of proficiency working with Microsoft Excel including formulas, calculations, charts, graphs
Preferred Qualifications:
  • 2+ years of credentialing or provider data experience
  • FACETS and / or Xcelys experience
  • Consulting experience
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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.

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.

Keywords: provider, systems, update, management, credentialing, FACETS, Xcelys, provider data

Job Details

  • Contest Number778306
  • Job TitleProvider Data Management Specialist - Phoenix, AZ
  • Job FamilyNetwork Contract Installation
  • Business SegmentOptum Operations

Job Location Information

  • Phoenix, AZ
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt


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Provider Data Management Specialist - Phoenix, AZ

UnitedHealth Group
Phoenix, AZ

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UnitedHealth Group
Phoenix, AZ

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