Credentialing Specialist at Optum, Honolulu, Hawaii

Company Overview:
Optum is a leading healthcare services and innovation company dedicated to helping make the health system work better for everyone. As part of the UnitedHealth Group family, Optum leverages cutting-edge technology and data analytics to drive better health outcomes for patients and providers alike. With a strong focus on improving healthcare quality, affordability, and accessibility, Optum is at the forefront of transforming the healthcare industry.

Key Responsibilities for Credentialing Specialist:
- Manage the credentialing process for healthcare providers, ensuring compliance with industry regulations and organizational standards.
- Review and verify provider credentials, licenses, certifications, and accreditations.
- Coordinate with various stakeholders to gather necessary documentation for credentialing purposes.
- Maintain accurate and up-to-date provider information in the credentialing database.
- Monitor credentialing status and follow up on any outstanding issues or discrepancies.
- Collaborate with internal teams to streamline credentialing processes and improve efficiency.
- Respond to inquiries from providers and external agencies regarding credentialing status and requirements.
- Stay current on industry trends and regulatory changes related to provider credentialing.

Required Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or related field.
- 2+ years of experience in credentialing or provider enrollment within a healthcare setting.
- Strong knowledge of credentialing principles, processes, and standards.
- Familiarity with healthcare regulations such as HIPAA, NCQA, and CMS guidelines.
- Excellent attention to detail and organizational skills.
- Proficiency in using credentialing software and databases.
- Effective communication skills and ability to work collaboratively in a team environment.

Desired Skills:
- Certification in Medical Staff Services Management or Certified Provider Credentialing Specialist (CPCS).
- Experience with CAQH and other credentialing platforms.
- Knowledge of managed care contracting processes.
- Ability to analyze data and generate reports for credentialing purposes.
- Strong problem-solving skills and ability to handle complex credentialing scenarios.

Compensation & Benefits:
The annual salary range for the Credentialing Specialist position at Optum in Honolulu, Hawaii is $50,000 - $65,000 commensurate with experience. In addition to competitive pay, Optum offers a comprehensive benefits package including medical, dental, vision, and 401(k) options. Employees also have access to professional development opportunities, wellness programs, and work-life balance initiatives.

How to Apply:
To apply for the Credentialing Specialist position at Optum in Honolulu, Hawaii, please visit our careers website and submit your resume along with a cover letter highlighting your relevant experience and qualifications. We look forward to reviewing your application and potentially welcoming you to our dynamic team at Optum.