Credentialing Senior Manager – Hybrid in San Antonio TX or Remote

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.   

 

It’s a big step forward when you realize that you’ve earned the trust to lead a team. Now, let’s determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you’ll be part of a team that’s reshaping how health care works for millions. We’re driving ever higher levels of sophistication in how provider networks are composed and perform. Join us and you’ll play a key role in directing the management of data and databases of physicians and specialists who are part of our provider networks. You’ll join a team of incredibly talented technology and business professionals where you’ll find discover the resources, backing and opportunities that you’d expect from a Fortune 4 leader.

 

Primary Responsibilities:

• Oversee management of provider credentialing, enrollment, data and database maintenance and improvement
• Guide reporting and extraction of data for various reports and analyses
• Set team direction, provide guidance and resolve problems
• Develop plans to meet short and long-term objectives
• Help develop/maintain standards for credentialing, database integrity and quality assurance
• Assist in audits and data quality improvement initiatives

 

In this role, you’ll be part of a challenging, fast-paced, performance driven management team focusing on capacity planning, inventory control and overseeing provider data projects.

 

Positions in this function are responsible for various activities related to credentialing and enrollment for WellMed practitioners which may include any or all of the following: managing Credentialing staff, overseeing timely credentialing, re-credentialing and enrollment functions, primary source verification and performance of all required database queries.  Develops and maintains standards for credentialing, enrollment, database integrity and quality assurance, coordinates corrective activities to clean database and retain users, and manages communication processes with other departments regarding database improvements. Conducts audits and provides feedback to reduce errors and improve processes and performance. Maintains current provider data to ensure the quality of the network. May be responsible for representing the credentialing department on company projects, reporting and tracking provider information, or for the support, coordination, and production of the provider directories. 

• Impact of work is most often at the local level.

 

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: 

• 5+ years of experience in the health care industry
• 5+ years of credentialing/enrollment experience
• 2+ years of supervisory experience
• 2+ years of experience managing cross functional projects and making presentations
• Intermediate level of proficiency with MS Excel
• Intermediate level of proficiency in tracking, trending and reporting on metrics

 

Preferred Qualifications:

• CPMSM or CPCS Certification 
• Proficiency in PowerPoint

 

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.