Senior Credentialing Representative - Las Vegas NV - Full-time / Part-time

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm)
 
The Senior Credentialing Representative is responsible for activities associated with credentialing or re-credentialing physicians and providers, including processing provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained. Senior Representatives will assist with audits and provide feedback to reduce errors and improve processes and performance.
 
Primary Responsibilities:


Apply knowledge / skills to complex activities

Demonstrate a depth and breadth of knowledge / skills in own area and is often able to apply these outside of own function

Often act as a technical resource to others in own function

Anticipate customer needs and proactively identify solutions

Solve complex problems on own; proactively identify new solutions to problems

Plan, prioritize, organize and complete work to meet established objectives

Act as a facilitator to resolve conflicts on team; seen as key team member on project teams spanning more than own function

Candidate will be familiar with standard NV credentialing forms

Intermediate level of proficiency with credentialing software programs such as CACTUS or Webtrack
 

Required Qualifications:


High school diploma

3+ years of healthcare provider credentialing experience

2+ years of experience working with compliance workflows and processes including NCQA policies and practices

2+ years of experience in researching and applying government regulatory information

Ability to work independently and remain on task

Good organization and planning skills

Strong interpersonal and oral communication skills including telephone etiquette

Intermediate level of research and analytical skills

Intermediate level of proficiency with MS Excel and Word 
Preferred Qualifications:


Credentialing experience in physician setting
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
 

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.
 

Keywords: provider credentialing, compliance workflows, NCQA, CACTUS, Webtrack, Las Vegas, NV, Nevada
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