It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to become a part of the team at UnitedHealth Group. We're 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. Primary Responsibilities:Help process provider applications and re-applications including initial mailing, review and loading into the database tracking system Conduct audits and provide feedback to reduce errors and improve processes and performanceDemonstrate great depth of knowledge/skills in own function and act as a technical resource to others Solve complex problems on own; proactively identify new solutions to problemsAct as a facilitator to resolve conflicts on teamPerform as key team member on project teams spanning more than own functionGet ready for some significant challenge. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS and state credentialing requirements.
Required Qualifications:High school diploma or equivalent work experience4+ years of health care provider credentialing experience2+ years' experience working with compliance workflows and processes, including NCQA policies and practices2+ years' experience in researching and applying government regulatory informationIntermediate level of proficiency with MS Excel and WordFinding 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.(sm) Job Keywords: Managed Care, health care, credentialing, claims, provider applications, medical insurance, provider relations, medical billing, San Antonio, TX, Texas
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.