Credentialing Representative- National Remote

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 diversity and inclusion, talented peers, comprehensive benefits and... career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Credentialing Representative is responsible for all activities associated with credentialing / re - credentialing providers. Includes processing provider applications, reviewing and loading into the databases ensuring high quality standards.

This role is responsible for all activities associated with credentialing or re -credentialing physicians and other Behavioral providers. Includes processing provider applications including initial communications, verifications, review, and loading into the databases. Conducts audits and provides feedback to reduce errors and improve processes and performance. Responsible for the understanding and adherence of credentialing policies and procedures.

This is a performance driven, fast paced environment where accuracy is key. You will be responsible for ensuring each application meets all NCQA, CMS, State and Federal credentialing requirements.

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

Primary Responsibilities: ? Process provider applications and re - applications including initial communications, verifications, review and loading into the databases ? Conduct quality audits and provide feedback to reduce errors and improve processes and performance ? Apply knowledge / skills to a range of moderately complex activities ? Demonstrate great depth of knowledge / skills in own function and function as an information resource to others ? Analytical skills for data analysis from multiple sources ? Ability to prioritize daily responsibilities

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 higher) ? 1 years of Healthcare Customer Service or Administration experience ? Intermediate proficiency with Microsoft Excel and Microsoft Word

Preferred Qualifications: ? Healthcare provider credentialing experience ? Experience working with compliance workflows and processes, including NCQA policies and practices ? Experience researching and applying government regulatory information ? All Telecommuters will be required to adhere to UnitedHealth Group?s Telecommuter Policy.

For more information on our Internal Job Posting Policy, click here.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C residents is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

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.

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