Senior Credentialing Representative - Quality Auditor
UnitedHealth Group· 31 open roles
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About This Role
The Senior Credentialing Representative - Quality Auditor plays a key role in ensuring quality care by connecting people with necessary resources. This position is remote and part of the Network Management team at Optum. The role contributes to improving health outcomes through care, pharmacy benefits, data, and resources. The company offers a culture of diversity and inclusion, career development opportunities, and comprehensive benefits.
Key ResponsibilitiesAI-extracted
- 1Typically: Conducts quality audits to ensure compliance with regulatory standards
- 2Typically: Reviews and verifies credentials of healthcare providers
- 3Typically: Identifies and reports quality issues to management
- 4Typically: Develops and implements quality improvement plans
- 5Typically: Collaborates with cross-functional teams to achieve quality goals
RequirementsAI-extracted
- Typically: Requires a high school diploma or equivalent
- Typically: Possesses 2-3 years of experience in a related field, such as quality assurance or credentialing
- Typically: Has strong analytical and problem-solving skills
- Typically: Excellent communication and interpersonal skills
- Typically: Ability to work in a fast-paced environment with multiple priorities
Perks & BenefitsAI-extracted
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