Position Description: 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 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.Credentialing Representatives will assist with audits and provide feedback to reduce errors and improve processes and performance. Primary Responsibilities:Apply knowledge / skills to a range of moderately complex activities. Demonstrate great depth of knowledge / skills in own function.Sometimes act as a technical resource to others in own function.Proactively identify solutions to non-standard requests. Solve moderately complex problems on own.Work with team to solve complex problems.Plan, prioritize, organize and complete work to meet established objectives.May coordinate work of other team members.
Required Qualifications:High School Diploma / GEDProvider Credentialing experience or healthcare experienceDatabase skills including querying, reporting and document generationInformational research skillsPreferred Qualifications:1+ year experience working with compliance workflows and processes including NCQA policies and practices1+ year experience in researching and applying government regulatory informationPrevious experience in a production based environmentSoft Skills:Ability to manage multiple tasks and triage responsibilitiesPeople skills and effective communicatorCareers 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.SMDiversity 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: Credentialing Representative, Eden Prairie, UnitedHealth Group, Provider Credentialing, Research, Healthcare
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.