UHG

About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Network Management

Country:

US

Postal Code:

43081

Approximate Salary:

Not Specified

Position Type:

Full Time

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Credentialing Representative - Westerville, OH

UHG - Westerville, Ohio

Posted: 10/16/2018

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. 

  • Work with team to solve complex problems.

  • Plan, prioritize, organize and complete work to meet established objectives. 

Required Qualifications:

  • High School Diploma/GED 

  • Healthcare Customer Service experience

Preferred Qualifications:

  • Experience working with compliance workflows and processes including NCQA policies and practices

  • Provider Credentialing experience

  • Experience in researching and applying government regulatory information

  • Experience with NDB or similar platform

  • Medical credentialing experience

  Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM


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.

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