Supervisor, Credentialing And Enrollment - Remote - Remote Eligible

Caring. Connecting. Growing Together.

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.

In this fast-paced, performance-driven role, accuracy and attention to detail are essential. As part of the credentialing team, you will serve as the final quality checkpoint before providers are added to the network. Responsibilities include processing and auditing provider applications and re-credentialing submissions, ensuring compliance with high-quality standards, and identifying areas for improvement. The role also involves developing credentialing policies and may include overseeing primary source verification activities.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. 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
• Coordinate, supervise and is accountable for the daily activities of business support, technical or production team or unit
• 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 and enrolment policies and procedures and oversee primary source verification activities
• Identify and resolve operational problems using defined processes, expertise and judgment

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:

• 5+ years of experience with credentialing/re-credentialing, enrollment and/or privileging in the health care industry
• 3+ years of experience with healthcare accreditation and regulatory standards including NCQA requirements
• 1+ years of supervisory experience
• Proficiency with MS Excel & Word
• Demonstrated ability to develop correspondence to facilities and clinicians
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

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). The salary for this role will range from $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.