Roster Data Management Specialist - Remote
UnitedHealth Group, New York, NY, United States
Requisition number:
2350119
Job category:
Network Management
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start
Caring. Connecting. Growing together.
The Roster Data Management Specialist is responsible for maintaining accurate, timely, and compliant roster data across internal systems and external partners, including payers and regulatory entities. This role serves as the authoritative owner of roster data and plays a critical role in ensuring provider readiness, minimizing claim denials, and supporting operational and financial performance.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Roster Data Governance & Integrity
Maintain master roster records for providers, facilities, and affiliations
Ensure data consistency across credentialing, enrollment, EHR, and payer systems
Enforce required data standards, naming conventions, and documentation requirements
Conduct routine and ad hoc audits to identify discrepancies, duplicates, or missing data
Maintain version control and audit trails for roster submissions and updates
Roster Submissions & Payer Management
Prepare, validate, and submit roster files to payers and external entities
Monitor submission status, acknowledgments, approvals, and rejections
Resolve payer feedback related to effective dates, locations, specialties, or network status
Serve as the primary point of contact for payer roster-related inquiries and escalations
Change & Lifecycle Management
Process provider and facility adds, terminations, transfers, and demographic updates
Coordinate effective dates to align with credentialing, contracting, and enrollment milestones
Ensure roster updates are implemented timely to support go-lives and billing activities
Cross-Functional Collaboration
Partner with Credentialing, Provider Enrollment, Provider Relations, Revenue Cycle, and Compliance teams
Support claims and billing teams by researching and resolving roster-related denials
Proactively communicate roster risks that may impact revenue, provider activation, or compliance
Manage Provider Data Management Shared Inbox
Create, update and maintain department job aids
Reporting & Continuous Improvement
Track roster submission cadence, payer SLAs, and resolution timelines
Identify trends, recurring issues, and root causes of roster discrepancies
Develop reports or dashboards to support leadership visibility and decision-making
Recommend process improvements to reduce errors and improve efficiency
Complete reporting requests for internal and external requirements
Compliance & Audit Support
Ensure roster data complies with payer contracts, CMS requirements, and state regulations
Support internal and external audits by providing documentation, submission history, and reconciliations
Escalate compliance risks related to incomplete or inaccurate roster data
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 provider enrollment, credentialing, roster management, or healthcare operations
Solid understanding of payer enrollment workflows and provider lifecycle management
High attention to detail with experience managing complex datasets
Proficiency with Excel and healthcare platforms such as MD-Staff, CAQH, Availity or any other payer portals
Preferred Qualifications:
Experience supporting multi state provider networks or high volume rosters
Familiarity with CMS, Medicaid, Medicare, and commercial payer requirements
Experience partnering with Revenue Cycle to resolve claim denials
Reporting or dashboard development experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline:
This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
2350119
Job category:
Network Management
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start
Caring. Connecting. Growing together.
The Roster Data Management Specialist is responsible for maintaining accurate, timely, and compliant roster data across internal systems and external partners, including payers and regulatory entities. This role serves as the authoritative owner of roster data and plays a critical role in ensuring provider readiness, minimizing claim denials, and supporting operational and financial performance.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Roster Data Governance & Integrity
Maintain master roster records for providers, facilities, and affiliations
Ensure data consistency across credentialing, enrollment, EHR, and payer systems
Enforce required data standards, naming conventions, and documentation requirements
Conduct routine and ad hoc audits to identify discrepancies, duplicates, or missing data
Maintain version control and audit trails for roster submissions and updates
Roster Submissions & Payer Management
Prepare, validate, and submit roster files to payers and external entities
Monitor submission status, acknowledgments, approvals, and rejections
Resolve payer feedback related to effective dates, locations, specialties, or network status
Serve as the primary point of contact for payer roster-related inquiries and escalations
Change & Lifecycle Management
Process provider and facility adds, terminations, transfers, and demographic updates
Coordinate effective dates to align with credentialing, contracting, and enrollment milestones
Ensure roster updates are implemented timely to support go-lives and billing activities
Cross-Functional Collaboration
Partner with Credentialing, Provider Enrollment, Provider Relations, Revenue Cycle, and Compliance teams
Support claims and billing teams by researching and resolving roster-related denials
Proactively communicate roster risks that may impact revenue, provider activation, or compliance
Manage Provider Data Management Shared Inbox
Create, update and maintain department job aids
Reporting & Continuous Improvement
Track roster submission cadence, payer SLAs, and resolution timelines
Identify trends, recurring issues, and root causes of roster discrepancies
Develop reports or dashboards to support leadership visibility and decision-making
Recommend process improvements to reduce errors and improve efficiency
Complete reporting requests for internal and external requirements
Compliance & Audit Support
Ensure roster data complies with payer contracts, CMS requirements, and state regulations
Support internal and external audits by providing documentation, submission history, and reconciliations
Escalate compliance risks related to incomplete or inaccurate roster data
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 provider enrollment, credentialing, roster management, or healthcare operations
Solid understanding of payer enrollment workflows and provider lifecycle management
High attention to detail with experience managing complex datasets
Proficiency with Excel and healthcare platforms such as MD-Staff, CAQH, Availity or any other payer portals
Preferred Qualifications:
Experience supporting multi state provider networks or high volume rosters
Familiarity with CMS, Medicaid, Medicare, and commercial payer requirements
Experience partnering with Revenue Cycle to resolve claim denials
Reporting or dashboard development experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline:
This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.