Top 308 Senior data specialist Jobs in Bloomington, Mn

Senior Credentialing Representative - Quality Auditor
Optum —Minnetonka, MN
- $91,700 - $163,700 a year
- Full-time
- Remote
- Microsoft Outlook
- Pass drug screening
- Research
- Health insurance
3d
Senior Field Service Specialist (NETA)
Premier Power Maintenance —Roseville, MN
- $45 - $65 an hour
- Overtime
- Background check
- Military
- High school diploma or GED
Quick Apply
Ophthalmologist Needed for Veteran Disability Benefit Exams near Golden Valley, MN
TDB Communications —Golden Valley, MN
- Contract
- Acute care
- Medicine
- Anatomy knowledge
Quick Apply
Director of Technical Services
AVSi —Minneapolis, MN
- $85,000 - $115,000 a year
- Full-time
- Hospitality
- Computer science
- Computer Science
- Health savings account
- Health insurance
Quick Apply
Senior Commissioning Specialist
CMTA —Minneapolis, MN
- $100,000 - $135,000 a year
- Full-time
- Construction site
- 5 years
- Engineering
- AD&D insurance
- Disability insurance
Quick Apply
Estate Claims Specialist
DCM Services —Bloomington, MN
- $18 - $20 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Quick Apply
Sr. Total Rewards & HR Operations Manager
Marco Technologies —Minnetonka, MN
- $119,193 - $190,709 a year
- 6 years
- HIPAA
- Research
Senior Supplier Quality Engineer - EEE Parts Specialist
General Dynamics Mission Systems, Inc —Bloomington, MN
- $89,505 - $99,295 a year
- Full-time
- Engineering
- Mid-level
- Master's degree
Senior Substation Engineer
SEL Engineering Services, Inc. —Plymouth, MN
- $136,100 - $170,300 a year
- Full-time
- Management
- Bachelor of Science
- System design
- Paid holidays
- Disability insurance
Quick Apply
Senior Substation Engineer
SEL Engineering Services, Inc. —Medina, MN
- $136,100 - $170,300 a year
- Full-time
- Management
- Bachelor of Science
- System design
- Paid holidays
- Disability insurance
Quick Apply
Senior Supplier Quality Engineer - EEE Parts Specialist, Strategic Programs (Sign on Bonus Available)
General Dynamics Mission Systems, Inc —Bloomington, MN
- $105,814 - $117,387 a year
- Full-time
- Engineering
- 3 years
- Master's degree
Senior Entry Writer
Radiant Global Logistics Inc —Mendota Heights, MN
- $60,000 - $70,000 a year
- Full-time
- Microsoft Outlook
- Basic math
- Mid-level
- Health savings account
- Paid holidays
2d
Corporate Compliance Manager
Real Estate Equities —Saint Paul, MN
- $90,000 - $97,000 a year
- Full-time
- Clean driving record
- Microsoft Outlook
- Mid-level
Quick Apply
13d
Leasing Specialist
SOLHEM LLC —Minneapolis, MN
- $23.50 - $26.00 an hour
- Full-time
- Google Workspace
- Mid-level
- Conflict management
13d
Team Lead, Market Operations
Carvana —Saint Paul, MN
- $65,000 - $80,000 a year
- Weekends as needed
- Background check
- 18 years or older
- Clean driving record
- Wellness program
- Health insurance
Quick Apply
Director, Enterprise SEO & AEO
Covista —Minneapolis, MN
- $120,205.94 - $210,914.22 a year
- Full-time
- Hybrid work
- Marketing
- Office
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply
Senior Manager, Experience Strategy & Web Performance
Covista —Minneapolis, MN
- $80,336.75 - $145,077.09 a year
- Full-time
- Hybrid work
- 7 years
- Marketing
- Office
- Paid holidays
- Disability insurance
Quick Apply
2d
Google Data Specialist
Accenture —Minneapolis, MN
- $59,100 - $196,000 a year
- Full-time
- Hybrid work
- SQL
- US work authorization
- Military encouraged
- Paid holidays
- Disability insurance
Microsoft Senior Specialist
Best Buy —Minneapolis, MN
- $63,050 - $112,250 a year
- Part-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
- Paid time off
- Employee discount
Senior Clinical Research Associate
AtriCure —Minnetonka, MN
- $106,000 - $130,000 a year
- Remote
- 5 years
- Bachelor's degree
- Travel
- Paid parental leave
- Health insurance

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Senior Credentialing Representative - Quality Auditor

Optum -
Minnetonka, MN

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year
3 days ago

Benefits

Health insurance

Qualifications

Provider database maintenance for medical credentialing
Research
High school diploma or GED
Quality assurance audits
Quality audits

Full Job Description

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.

The Senior Credentialing Representative is responsible for ensuring that credentialing information and data meets internal and external quality standards and requirements. Internal audits are performed against established standards for all credentialing and recredentialing functions within the Credentialing Center of Excellence (CCoE). The SCRA will document findings, identify trends, and recommend opportunities for improvement.

Location: Remote, Nationwide

Schedule: Monday to Friday, 8 AM- 5 PM

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges

Primary Responsibilities:

Credentialing File Review/Audit:

Performs daily audits of credentialing and recredentialing files utilizing standardized audit template
Ensures audits are performed within established timeframes
Communicates identified errors to credentialing representatives and specialists utilizing established processes

Process improvement:

Participates in audit result review and track and trend of results
Participates in root cause analysis
Reviews repeat errors for potential training opportunities
Provides explanations and interpretations within area of expertise
Identifies potential process improvement needs to workflows and procedures
Communicates potential and identified trends to leadership

Delegation Oversight:

Collect and review credentialing files and materials for submission to delegating health plans at time of initial and annual delegation oversight audits
Collect and review submitted sub-delegated files and materials at time of pre-assessment and annual delegation oversight audits
Other department duties as assigned

Knowledge, Skills, and Abilities:

Demonstrated understanding credentialing information processes
Established knowledge of credentialing requirements to include NCQA, CMS, and state-specific regulations
Attention to detail, ability to identify inconsistencies and missing information
Consistently delivers excellent quality of credentialing files processed
Analytical and critical thinking skills
Ability to research and evaluate credentialing criteria when questions or discrepancies are presented
Strong communication skills, ability to communicate clearly and professionally in written or oral formats
Ability to identify problems, analyze data and recommend solutions
Ability to maintain confidential information in accordance with Company policies, state, and federal regulations
Ability to manage detail and work with accuracy
Ability to acquire knowledge of technical resources within the organization
Ability to work independently
Ability to establish and maintain cooperative working relationships with individuals at all levels including teammates from other teams
Ability to work with frequent interruptions
Ability to prioritize work and skill in working effectively under deadlines and changing priorities
Demonstrated knowledge of Microsoft Office applications such as Word, Excel, and Outlook
Intermediate level skills working in Microsoft Excel
Consistently delivers excellent quality of work

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
2+ years of experience in Credentialing
1+ years of proven consistent quality audit scores passing or exceeding requirements
1+ years of experience using credentialing software or software managing provider information

Preferred Qualifications:

Experience using MD-Staff credentialing software
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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.

#RPO, #GREEN

Apply Now

Refine Your Search

senior data specialist jobs in bloomington, mn

Senior Credentialing Representative - Quality Auditor

Senior Field Service Specialist (NETA)

Ophthalmologist Needed for Veteran Disability Benefit Exams near Golden Valley, MN

Director of Technical Services

Senior Commissioning Specialist

Estate Claims Specialist

Sr. Total Rewards & HR Operations Manager

Senior Supplier Quality Engineer - EEE Parts Specialist

Senior Substation Engineer

Senior Substation Engineer

Senior Supplier Quality Engineer - EEE Parts Specialist, Strategic Programs (Sign on Bonus Available)

Senior Entry Writer

Corporate Compliance Manager

Leasing Specialist

Team Lead, Market Operations

Director, Enterprise SEO & AEO

Senior Manager, Experience Strategy & Web Performance

Google Data Specialist

Microsoft Senior Specialist

Senior Clinical Research Associate

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