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MSLA Credentialing Supervisor - Cypress, CA

UnitedHealth Group


Location:
CA
Date:
11/21/2017
2017-11-212017-12-20
Job Code:
736650
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Job Details

736650 MSLA Credentialing Supervisor

MSLA Credentialing Supervisor - Cypress, CA (736650)

Position Description

MSLA is a Medical Corporation that provides comprehensive independent medical evaluations (IME) and other IME related services to the government and private industry. Our business philosophy incorporates both exceptional customer service and quality evaluations, both of which are the primary factors for our rapid growth since our inception in 1998. No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)
 

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 Supervisor of Credentialing is responsible for all activities associated with credentialing or re-credentialing physicians and providers. Includes processing provider applications and re-applications including initial mailing, review, and loading into the database tracking system ensuring high quality standards are maintained.

 

 

Supervisors of Credentialing will oversee the conducting of audits and provide feedback to reduce errors and improve processes and performance. Other responsibilities include the development of credentialing policies and procedures, and may oversee primary source verification activities.

In this role you will be expected to:

  • Own output at task level
  • Work is generally limited to own function
  • Set priorities for the team to ensure task completion
  • Coordinate work activities with other supervisors
  • Develop plans to meet short-term objectives
  • Identify and resolve operational problems using defined processes, expertise and judgment
  • Decisions are guided by policies, procedures and business plan
  • Product, service or process decisions are most likely to impact individual employees and/or customers (internal or external).

 

 

 

Basic Requirements:

  • Undergraduate degree or equivalent work experience
  • 5+ years of experience with credentialing/recredentialing and/or privileging in the healthcare industry
  • 3+ years of experience with healthcare accreditation and regulatory standards including NCQA requirements
  • 1+ years of supervisory experience


Preferred Qualifications:

 

  • NAMSS or CPCS Certification
  • Demonstrated ability to organize and manage multiple ongoing projects within expected timeframes required. 
  • Must show attention to detail and be capable of taking responsibility for completion of assigned projects with deadlines
  • At least an intermediate level of proficiency in performing research
  • Professional verbal and written communication skills, including the ability to develop correspondence to facilities and clinicians
  • At least an intermediate level of proficiency with MS Excel & Word.

 

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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.

Job Details

  • Contest Number736650
  • Job TitleMSLA Credentialing Supervisor - Cypress, CA
  • Job FamilyNetwork Management
  • Business SegmentOptumCare

Job Location Information

  • CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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