Supervisor Network Development Credentialing – Community Network – Pearland, TX. Kelsey Seybold Clinic

Job ID: 2330203
Job Type: Full-time
Location: Pearland, TX 77581

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation’s leading health care organizations and build your career at one of our 40 locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

Primary Responsibilities:

The Credentialing Supervisor oversees the credentialing process and assigned staff to ensure compliance with delegated credentialing accreditation and regulatory agency standards. The Supervisor is responsible for the daily operations of Credentialing in Network Operations Department and ensures processes meet regulation requirements. The Credentialing Supervisor facilitates communication with clinics, physicians, payors, medical directors and other customers.

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 with focus in credentialing
• 5 years of managed care experience, 1-year supervisory experience
• High degree of knowledge in NCQA, TDI and AAAHC credentialing standards. Proficient computer experience, i.e. Microsoft Word /Excel
• Excellent written, verbal, presentation and leadership skills. Self-starter who can work independently with minimal supervision
• Driver’s license and access to reliable transportation

Preferred Qualifications:

• Certifications – CPCS, CPMSM, College Degree
• Managed Care/Hospital Credentialing
• Proficient in Microsoft Access and/or credentialing software programs

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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