7 days old

Senior Credentialing Representative - Concord, CA

Concord, CA 94519
  • Job Code
    876854

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) 


The Senior Credentialing Representative assists in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Other responsibilities include working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, training & development of external provider education programs, supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.  


Primary Responsibilities: 

  • Apply knowledge / skills to a range of moderately complex activities

  • Demonstrate great depth of knowledge / skills in own function

  • Sometimes act as a technical resource to others in own function

  • Proactively identify solutions to non - standard requests

  • Solve moderately complex problems on own

  • Work with team to solve complex problems

  • Plan, prioritize, organize and complete work to meet established objectives

  • May coordinate work of other team members

  • Extensive work experience within own function

  • Work is frequently completed without established procedures

  • Works independently

  • May act as a resource for others

  • May coordinate others activities 

 

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Posted: 2020-10-15 Expires: 2020-11-14

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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Senior Credentialing Representative - Concord, CA

UnitedHealth Group
Concord, CA 94519

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