For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

Positions in this function are responsible for all activities associated with credentialing or re-credentialing physicians and providers. Includes processing provider CAQH applications and re-applications including, loading into the database tracking system ensuring high quality standards are maintained. Conducts audits and provides feedback to reduce errors and improve processes and performance. Responsible for the development of credentialing policies and procedures.

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

Primary Responsibilities:

• Assists the Credentialing Supervisor in gathering credentialing and re-credentialing on all providers according to the Policies and Procedures in place
• Assists in completing provider applications for all newly employed credentialed providers for select groups
• Assists in tracking and maintaining of all provider licensure and updating provider database with all current information
• Assists in the maintenance of filing for all providers credentialing files
• Assists Credentialing Supervisor and internal staff with any special projects or credentialing issues
• Processes the credentialing and re-credentialing on all providers according to the Policies and Procedures in place
• Maintains all physician provider files and provider database files with current information and documentation
• Works with health plans, hospitals, and other healthcare organizations to provide current physician information
• Tracks provider licensure for all employed and contracted providers
• Works independently
• May act as a resource for others
• Applies knowledge/skills to a range of moderately complex activities
• Demonstrates great depth of knowledge/skills in own function
• Proactively identifies solutions to non-standard requests
• Solves moderately complex problems on own
• Works with team to solve complex problems
  

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 equivalent experience
• 2+ years of experience with provider credentialing
• Experience working with compliance workflows and processes, including NCQA policies
• Clerical or administrative experience in a healthcare setting
• Intermediate level of proficiency with MS Excel and Word
• Ability to work an 8-hour shift between the hours of 8:00am - 5:00 pm local time
  

Preferred Qualifications:

• Credentialing experience in a managed care organization, IPA/Medical Group organization and which included provider database processing
• Experience maintaining confidentiality while working with sensitive information
• Proven detail-oriented, well-organized and can multi-task effectively
  

Careers at OptumCare. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. Together we're creating the most innovative ideas and comprehensive strategies to help heal the health care system and create a brighter future for us all. Join us and learn why there is no better place to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare’s support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $16.00 to $31.44. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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.