Contract Services Specialist – Remote

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

What's most important to you in building your career and your future? Impact? Purpose? Potential? In that case, you're in the right place. UnitedHealth Group is a Fortune 5 leader in health care and an innovative driver of change in how the health system performs. As we continue to build and manage provider networks to serve our patients and families, we need to be sure that we're covering all aspects of the relationship. In this role, you'll use your strong customer service focus to help us install and manage accurate provider contracts within various United Health Group systems. It's impact, potential and purpose all in a day's work.

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

Primary Responsibilities:

• Assist with setting up plan structure and billing, eligibility collection and database loading
• Prepare materials such as plan documents and provider education aids
• Accurately load contract amendments
• Audit contract loads for adherence to quality measurers and reporting standards
• Recommend methods to improve processes used by department

This is a demanding, diverse and complex environment and the volume of providers needing validation is growing. Accuracy and efficiency is key, as you will be working to validate the network as per CMS regulatory requirements and update provider data quality listed in member directories.

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 or equivalent work experience
• 3+ years of work experience in a corporate setting with 1+ years of medical insurance experience (can include credentialing providers, provider relations, medical billing, provider administration)
• 1+ years of experience in a role requiring solid prioritization/organizational skills and solid interpersonal skills including telephone etiquette
• Basic level of proficiency with MS Excel and Word

Preferred Qualification:

• Data entry experience

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

California, Colorado, Connecticut, Nevada, Washington or New York City Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, Washington or New York City residents is $16.00 to $31.44. 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: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.