Remote Credentialing Specialist - Healthcare Compliance

Optum; Eden Prairie (MN); Remoto; USD 28.000 - 50.000; Tempo integral

Resumo da vaga

Optum is seeking a credentialing specialist to support intake reviews, PSV verifications, and provider enrollment activities in a fast-paced, remote-capable environment. You will process credentialing and recredentialing applications, maintain databases, and collaborate with the Credentialing Committee and leadership to ensure accuracy and timely updates.

This role requires 2+ years in allied health or credentialing, NCQA familiarity, and strong MS Office skills.

Qualificações

• High School Diploma or GED required.
• 2+ years in allied health or credentialing.
• 2+ years of experience with NCQA standards; proficiency with MS Office and related tools.

Responsabilidades

• Intake credentialing application review and documentation verification.
• Process name and address changes and credentialing updates.
• Perform primary source verifications (PSV) from online sources.
• Maintain credentialing database and audit trails.
• Communicate with Credentialing Committee Members and leadership.

Conhecimentos

Credentialing experience

NCQA standards

MS Office suite

Formação

High School Diploma or GED

Ferramentas

MDStaff

CAQH ProView

Descrição da vaga

Optum is seeking a credentialing specialist to support intake reviews, PSV verifications, and provider enrollment activities in a fast-paced, remote-capable environment. You will process credentialing and recredentialing applications, maintain databases, and collaborate with the Credentialing Committee and leadership to ensure accuracy and timely updates.

This role requires 2+ years in allied health or credentialing, NCQA familiarity, and strong MS Office skills.