Provider Data Specialist
United Healthcare
09.2021 - Current
- Utilize database systems, software, and tools to research provider data that is maintained in business operating systems such as PhyCon, NDB and CLM/CMD.
- Navigate multiple sets of operating procedures while reviewing state specific laws and regulations in order to maintain proper credentialing and contracting requirements
- Utilize analytical thinking to review data and policies from multiple sources and conduct detailed contractual research
- Maintain knowledge of business strategies, rules, and procedures.
