Credentialing Specialist

UnitedHealth GroupBoston, MA
Remote

About The Position

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

Requirements

  • High School Diploma/GED
  • 1+ years of experience with credentialing/re-credentialing and/or privileging in the health care industry
  • 1+ years of experience with health care accreditation and regulatory standards
  • Intermediate level of proficiency with MS Excel & Word
  • Access to reliable transportation and valid US driver’s license
  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Responsibilities

  • Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system
  • Conduct audits and provide feedback to reduce errors and improve processes and performance
  • Demonstrate great depth of knowledge/skills in own function and act as a technical resource to others
  • Help develop credentialing policies and procedures and, occasionally, oversee primary source verification activities
  • Investigate non-standard requests and problems

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
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