Senior Credentialing Representative – San Antonio, TX
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 Senior Credentialing Representative manages provider networks that support client base. This can include hospital, physician, and dental networks. Examples include provider relations activities, analyzing provider performance, creating provider reimbursement arrangements, and credentialing activities.
Primary Responsibilities:
- Oversee/Facilitate/Complete Receipt and Processing of Provider Applications
- Oversee/Facilitate/ Complete Analysis and Verification of Provider Credentials
- Maintain Provider Credentialing Documentation
- Support/Monitor/Oversee Quality of Network Providers
- Demonstrate Knowledge of Credentialing Processes, Tools, and Regulations
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)
- 2+ years of credentialing experience
- Intermediate level of proficiency in Microsoft Office Suite (Work, Excel, PowerPoint, etc.)
Preferred Qualifications:
- Health plan payer enrollment experience
Soft Skills:
- Organized and must be able to meet timely deadlines
- Must be able to handle multiple priorities at the same time
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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Información adicional sobre la vacante
Número de la requisición 2245456
Segmento de negocio Optum
Nivel del cargo Individual Contributor
Disponibilidad para viajar No
Ubicaciónes adicionales de la vacante
San Antonio, TX, US
Estado de horas extras Non-exempt
Vacante de teletrabajo No