Positions in this function are assigned to provider groups who submit rosters and covers all demographic and contractual elements. Data Loading Analysts (DLAs) are responsible for various loading activities related to the provider network database (NDB). DLAs make informed decisions to deliver quality results and are responsible for properly maintaining the provider data housed in our core systems to allow for proper claim payment and member directory information. Positions in this function are assigned to provider groups who submit rosters and covers all demographic and contractual elements. Data Loading Analysts (DLAs) are responsible for various loading activities related to the provider network database (NDB). DLAs make informed decisions to deliver quality results and are responsible for properly maintaining the provider data housed in our core systems to allow for proper claim payment and member directory information.
Primary Responsibilities:
- Receive data from multiple inbound sources (e.g., rosters, spreadsheets, email, Phycon, etc.)
- Interpret, organize, and collect data to enter into the system
- Utilize multiple database systems and tools to enter and/or research provider data in NDB
- Contact internal or external data submitter to verify/clarify information and/or data to be entered, when required
- Uses pertinent data and facts to identify and solve a range of problems within area of expertise
- Investigates and analyzes non-standard requests and problems, with some assistance from others
- Review system results to determine whether keyed data is correct, or updates are necessary
- Maintain current knowledge of business strategies, rules, and procedures (e.g., attend training)
- Demonstrate an understanding of and apply business strategies, rules, and procedures as appropriate (e.g., determine whether to reject or accept data prior to entry)
- Participate in applicable ad hoc projects, as assigned
- Consistently meet target production, quality, and time utilization metrics
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 or above
- 1+ year or more internal or external customer response / customer service experience
- 6+ months computer experience utilizing Microsoft Office (including Excel, Outlook, Word…) and computer navigation skills
- Data entry experience
- You will be asked to perform this role in an office setting or other company location
- If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas, In addition, employees must comply with any state and local masking orders.
Preferred Qualifications:
- Demonstrated understanding of relevant platforms (e.g., FACETS, NMDB, NDB, COSMOS, Emptoris, Diamond, PPO-One, NICE, PULSE)
- Demonstrated understanding of relevant system applications (e.g., PhyCon, SmartPricer, Navigator, DLI, Emptoris,SharePoint, Knowledge Central, Rate Manager, Echosign, DocuSign,ePUF)
- Demonstrated understanding of internal processes and procedures for loading, maintaining, and/or resolving contracts or claims
- Undergraduate Degree
Soft Skills:
- Ability to prioritize and organize own work to meet deadlines
- Demonstrated ability to communicate effectively (clear and concise notes, and written communication)
- Ability to work under pressure and maintain quality of detailed work while meeting deadlines