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UnitedHealth Group Provider Enrollment Specialist - Remote in MA, RI, CT or NH in Boston, Massachusetts

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

If you are located in Massachusetts, Rhode Island, Connecticut or New Hampshire, you will have the flexibility to work remotely* as you take on some tough challenges. This role will travel up to 25% within the state of Massachusetts.

Primary Responsibilities:

  • Process provider applications and revalidation applications through verifications, credentialing, and site visits

  • Accurately input enrollment data into database system

  • Conduct quality assurance functions to reduce errors and improve processes and performance

  • Demonstrate great depth of knowledge / skills in own function and act as a technical resource to others

  • Educate and provide training to Providers on billing, prior authorization, and other administrative functions

  • Investigate non-standard requests and problems

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account

  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

  • 401(k) Savings Plan, Employee Stock Purchase Plan

  • Education Reimbursement

  • Employee Discounts

  • Employee Assistance Program

  • Employee Referral Bonus Program

  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

  • More information can be downloaded at: http://uhg.hr/uhgbenefits

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/GED

  • 3+ years of experience with credentialing/provider enrollment/network management/provider relations in the health care industry

  • Demonstrated intermediate level of proficiency with MS Excel and Word

  • Currently reside within the state of Massachusetts, Rhode Island, Connecticut, or New Hampshire

  • Ability to travel up to 25% of the time for conducting site visits within the state of Massachusetts

Preferred Qualifications:

  • Comfortable learning and using different computer programs such as Salesforce and MMIS

  • Exceptional oral communication skills

  • Ability to work independently and with a team

  • Proven understanding and successful at meeting deadlines that comes with job tasks

  • Demonstrated ability to develop written correspondence to providers

  • Familiarity with healthcare regulations and standards

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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: 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.

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