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Optum · 1 month ago

Supervisor Network Development Credentialing - Community Network - Pearland, TX. Kelsey Seybold Clinic

Pearland, TX

Full-time

Onsite

Senior Level

$71K/yr - $127K/yr

5+ years exp

Optum, part of the Kelsey-Seybold Clinic, is one of the nation's leading health care organizations. The Credentialing Supervisor oversees the credentialing process and assigned staff to ensure compliance with accreditation and regulatory standards, while facilitating communication with various stakeholders.

EducationHealth CareMedicalPharmaceutical

Responsibilities

The Credentialing Supervisor oversees the credentialing process and assigned staff to ensure compliance with delegated credentialing accreditation and regulatory agency standards

The Supervisor is responsible for the daily operations of Credentialing in Network Operations Department and ensures processes meet regulation requirements

The Credentialing Supervisor facilitates communication with clinics, physicians, payors, medical directors and other customers

Qualification

NCQA credentialing standardsTDI credentialing standardsAAAHC credentialing standardsManaged care experienceCredentialing software proficiencyMicrosoft WordMicrosoft ExcelLeadership skillsWritten communicationVerbal communicationPresentation skillsSelf-starter

Required

High School diploma or equivalent work experience with focus in credentialing

5+ years of managed care experience, 1-year supervisory experience

High degree of knowledge in NCQA, TDI and AAAHC credentialing standards

Proficient computer experience, i.e. Microsoft Word /Excel

Excellent written, verbal, presentation and leadership skills

Self-starter who can work independently with minimal supervision

Driver's license and access to reliable transportation

Preferred

Certifications - CPCS, CPMSM, College Degree

Managed Care/Hospital Credentialing

Proficient in Microsoft Access and/or credentialing software programs

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Company

Optum

Glassdoor3.6

Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.

Founded in 2011

Eden Prairie, Minnesota, USA

10001+ employees