Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Primary Responsibilities:Initiates on-boarding process for contracted medical and dental service providersProcesses provider credentialing applications in accordance with standards, regulatory requirements, and policies and proceduresExamines research, enters data, files, and gathers all information necessary to process information received from providers to support the credentialing processMaintains compliance with documentation standards for necessary verificationEstablishes productive relationships with medical providers and office staff to facilitate prompt integration into company networkAssists and provides customer service to on-boarding providersCollects and processes executed contract documentsSends and receive medical provider applications and compliance documentationReviews received documentation to ensure 100% completion and accuracyAll other duties assigned by Management
Required Qualifications:High School Diploma / GED1+ years of credentialing experiencePreferred Qualifications:Associate's Degree (or higher)Knowledge of NCQA credentialing standardsKnowledge of best practices and industry standards for credentialing processesSoft Skills:Strong PC skillsCareers with MARCH® Vision Care. Now this is a place where you can bring your compassion and desire to innovate. MARCH® Vision Care was built with a groundbreaking platform in mind for delivering quality vision care - one that not only focuses on early disease detection, but also uses state-of-the-art technology to help improve communication between members and their doctors. As part of the UnitedHealth Group family of businesses, we specialize in the administration of vision care benefits for managed care organizations, specifically for government sponsored programs such as Medicaid, Medicare, Medicare- Medicaid Plans, and Healthcare Exchange. Join our team and you'll quickly realize this is the opportunity to do your life's best work. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer 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. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: UHG, Woodland Hills, Credentialing, Coordinator, managed care, NCQA, MARCH VISION
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.