Credentialing / Sanction Monitor - Telecommute

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Great intentions can inspire a lot of good things. But if you want to drive really great results, you have to go beyond intentions and develop really great competencies. You know where we're going with that. UnitedHealth Group is building and maintaining extensive provider networks to serve our customers. Our goal is to attract and secure relationships with the best in every specialty and every community. As a senior member of our provider credentialing team, you'll help us vet and document the competencies of physicians and other providers in our networks. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 6 leader.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S., preferably on the West Coast, as you take on some tough challenges.

Primary Responsibilities:

• Oversee processing of provider applications and re-applications including initial mailing, review and loading into the database tracking system
• Manage team in conducting 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
• Develop credentialing policies and procedures and oversee primary source verification activities
• Identify and resolve operational problems using defined processes, expertise and judgment
  
  

This is a performance driven, fast paced environment where accuracy is key and you will be challenged every day. Our team is the final quality check before the provider is placed in our network. You need to ensure a high level of detail related to their quality and identify areas for credentialing improvement.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Undergraduate degree or equivalent work experience
• 3+ years of experience with credentialing/re-credentialing and/or privileging in the health care industry
• Proficiency with MS Excel & Word
  
  

Preferred Qualifications:

• 3+ years of experience with healthcare accreditation and regulatory standards including NCQA requirements
• 3+ years of Dental credentialing experience
• 1+ years of supervisory experience
• Demonstrated ability to develop correspondence to facilities and clinicians
• Prefer candidate to be located on Pacific or Mountain time

Finding and securing the best providers for our growing networks is helping UnitedHealth Group improve the lives of millions. Join us. Learn more about how you can start doing your life's best work.

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

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 health care. 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.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $45,100 to $80,200. The salary range for Connecticut/Nevada residents is $49,800 to $88,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

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.