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Optum · 8 hours ago

Senior Provider Data Specialist

United States

Full-time

Remote

Mid, Senior Level

$20/hr - $35.72/hr

2+ years exp

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The Senior Provider Data Specialist manages end-to-end provider credentialing and access for skilled nursing facilities, ensuring accurate and timely completion of applications and documentation while supporting compliance quality audits and process improvements.

EducationHealth CareMedicalPharmaceutical

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

Qualification

Credentialing experienceEMR access knowledgeMS Excel proficiencyMS Word proficiencyProcess improvementAudit skillsHealthcare experience

Required

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

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