Manager of Physician Credentialing – Owensboro, KY

Opportunities at Owensboro Health, in strategic partnership with Optum. Our team of talented people works to improve the health outcomes of the communities we serve. As an Optum employee, you will provide support to the Owensboro health account. They are a nonprofit system with over 200 providers at more than 20 locations, 3 outpatient facilities, a certified medical fitness facility, a surgical weight loss center and the Mitchell Memorial Cancer Center. We are continually searching for people like you to help us provide the most innovative health care services. Join a team that will make you feel valued and 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 building and maintaining extensive provider networks to serve our customers. Our goal is to attract and secure relationships with the best in every specialty and every community. As a leader on our provider credentialing team, you’ll help us vet and document the competencies of physicians and other providers in our networks. As you do, you’ll discover the resources, backing and opportunities that you’d expect from a Fortune 6 leader.

 

This role is no small task. Multitasking is huge. You’ll need to ensure credentialing accuracy, staff and manage your workforce, ensure implementation of appropriate learning tools within the platforms and effectively inspire employee engagement.

 

Primary Responsibilities:

• Oversee processing of provider applications and re-applications including initial mailing, review and loading into the database tracking system 
• Manage the team in conducting audits and provide feedback to reduce errors and improve processes and performance
• Set direction, resolve problems and provide guidance to team members
• Adapt departmental plans and priorities to address business and operational challenge
• Influence or provide input to forecasting and planning activities
• Develop credentialing policies and procedures and oversee primary source verification activities

 

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 supervisory and credentialling experience in a revenue cycle, physician practice or ambulatory care environment
• Proficiency with MS Excel & Word
• Demonstrated ability to develop correspondence to facilities and clinicians
• Driver’s License and access to reliable transportation
• Must reside in a commutable distance to Owensboro, KY.

 

Preferred Qualifications: 

• 5+ years of experience with credentialing/re-credentialing and/or privileging in the healthcare industry
• 3+ years of experience with health care accreditation and regulatory standards including NCQA requirements
• Experience in Epic MDStaff 

 

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 salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

 

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.