Senior Provider Data Specialist at UnitedHealth Group Canada

Brentwood, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Apr, 26

Salary

35.72

Posted On

01 Jan, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Healthcare, EMR Access, MS Excel, MS Word, Auditing, Process Improvement, Compliance, Documentation, Data Management, Quality Standards, Policy Development, Source Verification, Application Processing, Feedback, Performance Improvement

Industry

Hospitals and Health Care

Description

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. Join us to start Caring. Connecting. Growing together. The Senior Provider Data Specialist manages end-to-end provider credentialing and access for skilled nursing facilities, ensuring accurate and timely completion of applications, documentation and EMR access. This role partners with providers and facilities to support compliance quality audits and process improvement across expanding markets. Schedule: Monday to Friday, 6 AM- 9 PM, 40 hour/week Location: REMOTE – Nationally You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Responsible for all activities associated with credentialing or re-credentialing 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 Conducts audits and provides feedback to reduce errors and improve processes and performance Responsible for the development of credentialing policies and procedures. May oversee primary source verification activities Other duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED (or higher) 2+ years of experience with credentialing in healthcare 2+ years of experience in a medical office or hospital setting Intermediate level of knowledge with EMR access Intermediate level of proficiency with MS Excel and Word *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. 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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

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Responsibilities

The Senior Provider Data Specialist manages end-to-end provider credentialing and access for skilled nursing facilities. This includes processing applications, conducting audits, and developing credentialing policies.