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Job Details
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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to telecommute* from anywhere within Massachusetts, Rhode Island, Connecticut, or New Hampshire as you take on some tough challenges. Primary Responsibilities:
- Process provider applications and revalidation applications through verifications, credentialing, and site visits
- Accurately input enrollment data into database system
- Conduct quality assurance functions 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
- Educate and provide training to Providers on billing, prior authorization, and other administrative functions
- Investigate non-standard requests and problems
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- More information can be downloaded at: http://uhg.hr/uhgbenefits
- High School Diploma/GED (or higher)
- 3+ years of experience with credentialing / provider enrollment / network management / provider relations in the health care industry
- Intermediate level of proficiency with MS Excel and Word
- Currently reside within the state of Massachusetts, Rhode Island, Connecticut, or New Hampshire
- Ability to travel up to 25% of the time for conducting site visits within the state of Massachusetts
- Comfortable learning and using different computer programs such as Salesforce and MMIS
- Exceptional oral communication skills
- Ability to work independently and with a team
- Understands and is successful at meeting deadlines that comes with job tasks
- Demonstrated ability to develop written correspondence to providers
- Familiarity with healthcare regulations and standards
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more