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UnitedHealth Group Credentialing Auditor - Hybrid in San Antonio, TX in San Antonio, Texas

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

Challenge can often be its own reward. But why settle for just being challenged when you can also be nurtured, mentored, and supported in building an impact and fast paced career? With UnitedHealth Group you can have all of the above, every day. Join us and you'll play a key role in managing data about the physicians and specialists who are part of our provider networks. This role will put you on a team of incredibly talented technology and business professionals. You'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

Primary Responsibilities:

  • Auditing of credentialing records for committee review, providing feedback and possible mentorship and training to Specialists

  • Help manage provider data and maintain and improve databases

  • Reporting and extracting data for various reports and analyses

  • Help develop/maintain standards for database integrity and quality assurance

  • Coordinate corrective activities to clean database and retain users

  • Manage communication processes with other departments regarding database improvements

  • Assist in data quality improvement initiatives

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.

Required Qualifications:

  • High school diploma or equivalent work experience

  • 2+ years of experience in the health care industry

  • 2+ years of credentialing experience

  • Customer service experience

  • Intermediate level of proficiency with MS Excel

  • Intermediate level of proficiency in tracking, trending, and reporting on metrics

Preferred Qualifications:

  • 2+ medical coding experience

  • Proficiency with medical terminology

  • Proficiency in MS Access and PowerPoint

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 .

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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