Minnesota, United States · Remote OK
$20/hr–$36/hr
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 ca…
Skills: Credentialing Audit, NCQA Regulations, CMS Regulations, Root Cause Analysis, Process Improvement
Fridley, Minnesota, United States · On-site
$18/hr–$32/hr
$750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do with our team w…
Skills: Patient Registration, Insurance Verification, Customer Service, Electronic Medical Records, Revenue Cycle Management
Overland Park, Kansas, United States · Remote Solely
$18/hr–$32/hr
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 ca…
Skills: Care Coordination, Behavioral Health Screening, Case Management, Patient Navigation, Microsoft Office
Walnut Creek, California, United States · Hybrid
$73k–$130k/yr
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 ca…
Skills: Epic ClinDoc Configuration, Clinical Workflow Optimization, System Troubleshooting, Requirements Gathering, Epic Implementation
Hyderabad, Telangana, India · On-site
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 ca…
Skills: Account Reconciliation, Month End Close, General Ledger, Journal Entries, Balance Sheet Reconciliation
India · On-site
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 ca…
Skills: ICD-10-CM, ICD-10-PCS, DRG Coding, Acute Care Inpatient Coding, Chart Review
Clarksville, Tennessee, United States · On-site
$71k–$106k/yr
$2,500 Sign-On Bonus for External Applicants Explore opportunities with Suncrest Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum …
Skills: Triage, Hospice Care, Nursing Evaluation, Patient Assessment, Crisis Management
Plymouth, Minnesota, United States · Hybrid
$113k–$193k/yr
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 ca…
Skills: Cloudflare, Akamai, WAF, DDoS Mitigation, DNS Steering
Eden Prairie, Minnesota, United States · Hybrid
$73k–$130k/yr
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 ca…
Skills: Kotlin, Java, Jetpack Compose, Android Studio, REST API
San Antonio, Texas, United States · On-site
$20/hr–$36/hr
$3,000 Sign On Bonus for External Candidates Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part o…
Skills: Patient Education, Motivational Interviewing, Medication Reconciliation, Chronic Disease Management, Care Coordination
San Antonio, Texas, United States · On-site
$16/hr–$29/hr
Explore opportunities with WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will be part of a team who shares your passion for helping …
Skills: Patient Care, Venipuncture, EKG, Medical Terminology, ICD-10 Coding
Eden Prairie, Minnesota, United States · Hybrid
$92k–$164k/yr
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise…
Skills: Client Relationship Management, Operations Project Management, Healthcare Industry Knowledge, Microsoft Excel, Microsoft PowerPoint
Pune, Maharashtra, India · On-site
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 ca…
Skills: .Net Core, React.js, Angular, C#, Java
Draper, Utah, United States · On-site
$60k–$107k/yr
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 ca…
Skills: Credit Risk Analysis, Fundamental Credit Analysis, SQL, Python, R
Cincinnati, Ohio, United States · On-site
$16/hr–$28/hr
"A Day in the Life" video Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral health and addiction treatment communities. We do more than ju…
Skills: Prescription Dispensing, Inventory Management, Customer Service, Clerical Duties, Medication Management
Las Vegas, Nevada, United States · On-site
$29/hr–$52/hr
As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone. At Optum, you’ll have the clinical resources, data and support of a global organization behind…
Skills: Patient Assessment, Nursing Process, Clinical Documentation, Pharmacy Control, Patient Education
Las Vegas, Nevada, United States · On-site
$24/hr–$43/hr
$3,000 Sign-on Bonus for External Candidates 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 car…
Skills: Radiographic Procedures, Patient Positioning, Radiation Safety, PACS/Synapse, R.I.S.
Las Vegas, Nevada, United States · On-site
$35/hr–$63/hr
Optum Nevada is seeking a Senior RN to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you’ll be …
Skills: Clinical Leadership, Patient Care, Regulatory Compliance, Staff Onboarding, Competency Validation
Bristol, Connecticut, United States · On-site
$16/hr–$28/hr
Opportunities with ProHealth Physicians, part of the Optum family of businesses. When you work at ProHealth Physicians, your contributions directly sustain the health and well-being of our community. Discover high levels…
Skills: Patient Check-in, Patient Check-out, Appointment Scheduling, Electronic Health Records, Payment Collection
Middletown, New York, United States · On-site
$16/hr–$29/hr
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 c…
Skills: Venipuncture, Capillary Puncture, Pediatric Phlebotomy, Adult Phlebotomy, EKG Procedures
Minnesota, United States • Remote OK
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The Senior Credentialing Representative performs daily audits of credentialing and recredentialing files to ensure compliance with internal and external quality standards. They are also responsible for identifying trends, conducting root cause analysis, and recommending process improvements to leadership.
Candidates must have a High School Diploma/GED and at least 2 years of experience in credentialing, including 1 year of quality audit experience. Proficiency in credentialing software and Microsoft Office, particularly Excel, is required.
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 is responsible for ensuring that credentialing information and data meets internal and external quality standards and requirements. Internal audits are performed against established standards for all credentialing and recredentialing functions within the Credentialing Center of Excellence (CCoE). The SCRA will document findings, identify trends, and recommend opportunities for improvement.
Location: Remote Nationwide
Schedule: Monday to Friday, 8AM - 5PM
You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Credentialing File Review/Audit:
Process Improvement:
Delegation Oversight:
Knowledge, Skills, and Abilities:
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Preferred Qualifications:
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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 hourly pay for this role will range from $20 to $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
#RPO #GREEN
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care. At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities. Click below to search careers or join our social communities: • Search & apply for careers at careers.unitedhealthgroup.com/ • Follow us on Twitter at twitter.com/UnitedHealthGrp • Follow and like us on Facebook at facebook.com/unitedhealthgroup • Follow us on Instagram at instagram.com/unitedhealthgroup More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone. We are 340,000 colleagues in two distinct and complementary businesses working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences. Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. UnitedHealthcare offers a full range of health benefits, enabling affordable coverage, simplifying the health care experience and delivering access to high-quality care. We work with governments, employers, partners and providers to care for 147 million people and share a vision of a value-based system of care that provides compassionate and equitable care. At UnitedHealth Group, our mission calls us, our values guide us and our diverse culture connects us as we seek to improve care for the consumers we are privileged to serve and their communities. Click below to search careers or join our social communities: • Search & apply for careers at careers.unitedhealthgroup.com/ • Follow us on Twitter at twitter.com/UnitedHealthGrp • Follow and like us on Facebook at facebook.com/unitedhealthgroup • Follow us on Instagram at instagram.com/unitedhealthgroup More about UnitedHealth Group can be found at unitedhealthgroup.com/
Offices: Eden Prairie , Minnesota, US · 2716 N Tenaya Way, Las Vegas, NV 89128, US · 4425 E Cotton Center Blvd, Phoenix, AZ 85040, US · 1900 E Golf Rd, Schaumburg, IL 60173, US · 8822 Three Chopt Rd, Henrico, VA 23229, US
