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Senior Credentialing Representative - Las Vegas, NV

UnitedHealth Group


Location:
Las Vegas, NV
Date:
05/26/2017
Job Code:
1746567
Apply on the Company Site
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Job Details


Senior Credentialing Representative - Las Vegas, NV(Job Number:711475)
Description

Position Description:
 
Energize your career with one of Healthcare’s fastest growing companies.  
 
You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives.  We live for the opportunity to make a difference and right now, we are living it up.
 
This opportunity is with one of our most exciting business areas: Optum – a growing part of our family of companies that make UnitedHealth Group a Fortune 17 leader.
 
Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation and Performance.


The Senior 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. Senior Credentialing Representatives will assist with audits and provide feedback to reduce errors and improve processes and performance.

 

Primary Responsibilities:

 

Responsible for the development of credentialing policies and procedures. May oversee primary source verification activities. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

  • Apply knowledge / skills to complex activities.
  • Demonstrate a depth and breadth of knowledge / skills in own area and is often able to apply these outside of own function.
  • Often act as a technical resource to others in own function.
  • Anticipate customer needs and proactively identify solutions. Solve complex problems on own; proactively identify new solutions to problems.
  • Plan, prioritize, organize and complete work to meet established objectives.
  • Act as a facilitator to resolve conflicts on team; seen as key team member on project teams spanning more than own function.

Job Credentialing
Primary Location US-NV-Las Vegas
Other Location 
Organization OptumCare NV
Schedule Full-time
Number of Openings 2
Apply on the Company Site

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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