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.The Senior Credentialing Representative is responsible for assisting in the full range of provider relations and service interactions within UnitedHealth Group, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Senior Credentialing Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims. Primary Responsibilities:Apply knowledge / skills to a range of moderately complex activitiesDemonstrate great depth of knowledge / skills in own functionSometimes act as a technical resource to others in own functionProactively identify solutions to non - standard requestsSolve moderately complex problems on ownWork with team to solve complex problemsPlan, prioritize, organize and complete work to meet established objectivesMay coordinate work of other team membersExtensive work experience within own functionWork is frequently completed without established proceduresWorks independentlyMay act as a resource for othersMay coordinate others activities
Required Qualifications:High School Diploma or GED or higher Previous experience in a corporate settingProficiency within Microsoft Word (Ability to create and edit documents)Proficiency within Microsoft Excel (Ability to filter and sort within spreadsheets)Preferred Qualifications:Previous experience working for Managed Care or Medical Insurance industrySalesForce experience Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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: UnitedHealth Group; UnitedHealth Care;senior credentialing representative; Concord, CA; health care, Microsoft word, Microsoft excel, salesforce
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.