Credentialing Specialist at Optum, Seattle, Washington

Company Overview:
Optum is a leading healthcare administration company that specializes in providing innovative solutions to improve the delivery of healthcare services. With a strong focus on technology and data-driven insights, Optum aims to enhance the quality of care while reducing costs for patients and healthcare providers.

Key Responsibilities for Credentialing Specialist:
- Review and process credentialing applications for healthcare providers according to Optum's standards and regulatory requirements
- Verify provider credentials, including education, training, licensure, and certifications
- Maintain accurate and up-to-date provider databases and credentialing files
- Communicate with providers and external organizations to obtain necessary credentialing information
- Ensure compliance with accreditation standards and regulatory guidelines related to provider credentialing

Required Qualifications:
- Bachelor's degree in Healthcare Administration, Business Administration, or related field
- Minimum of 2 years of experience in healthcare credentialing or provider enrollment
- Strong understanding of credentialing processes, regulations, and industry standards
- Proficiency in using credentialing software and databases
- Excellent attention to detail and organizational skills
- Ability to prioritize tasks and meet deadlines in a fast-paced environment

Desired Skills:
- Certification in Medical Staff Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS)
- Experience working with managed care organizations or healthcare networks
- Knowledge of NCQA, URAC, and other accrediting bodies' credentialing requirements
- Effective communication skills and the ability to work collaboratively with cross-functional teams
- Analytical skills to identify discrepancies in credentialing documentation

Compensation & Benefits:
The annual salary range for the Credentialing Specialist position at Optum in Seattle, Washington, is between $55,000 and $70,000, commensurate with experience and qualifications. Optum offers a comprehensive benefits package that includes medical, dental, and vision insurance, retirement savings plans, paid time off, and professional development opportunities.

How to Apply:
To apply for the Credentialing Specialist position at Optum, please visit our careers website and submit your resume along with a cover letter highlighting your relevant experience and qualifications. Only shortlisted candidates will be contacted for further evaluation. Thank you for considering a career with Optum.