Provider Enrollment Representative – Remote

Help connect providers to the networks they need while working from anywhere in the U.S. with Optum, part of UnitedHealth Group.

About Optum
Optum is a global health services and innovation company dedicated to improving lives and advancing health equity. Through technology, data, and connected care, Optum helps millions access the resources and care they need. The team values diversity, inclusion, and creating a workplace where everyone can grow and thrive.

Schedule

  • Full-time, remote (telecommute from anywhere in the U.S.)
  • Monday–Friday, 8:00 AM – 5:00 PM (any U.S. time zone)

What You’ll Do

  • Process provider enrollment applications and re-applications, ensuring accuracy and compliance
  • Conduct audits and provide feedback to improve processes
  • Solve complex issues independently and act as a resource to teammates
  • Maintain compliance with NCQA, CMS, and state credentialing requirements
  • Submit 10–15 applications daily and manage follow-ups with payers
  • Collaborate across teams to resolve issues and meet deadlines

What You Need

  • High School Diploma/GED (or higher)
  • 2+ years of experience submitting 10–15 behavioral health provider payer enrollment applications
  • 2+ years submitting commercial payer applications across at least 10 payers in multiple states (OK, HI, AZ, WI, MN, CA, WA, OR, NE)
  • 2+ years resolving follow-ups and compliance workflows (NCQA policies and practices)
  • Intermediate proficiency in MS Excel and Word
  • Secure, distraction-free home workspace with high-speed internet
  • Ability to work 8:00 AM – 5:00 PM CST

Preferred Qualifications

  • Knowledge of payer applications for OK, HI, AZ, WI, MN, CA, WA, OR, and NE
  • Strong organizational skills, ability to multi-task, and excellent written/verbal communication

Benefits

  • PTO (starts accruing from first paycheck) + 8 paid holidays
  • Medical, dental, vision, life & disability insurance
  • 401(k) savings plan + employee stock purchase plan
  • Education reimbursement
  • Employee discounts, referral bonus program, and EAP
  • Voluntary benefits (pet insurance, legal, LTC, etc.)

Now hiring experienced credentialing professionals ready to support provider networks nationwide.

If you want a career where your skills directly support better health outcomes, this is your chance to join a mission-driven team.

Happy Hunting,
~Two Chicks…

APPLY HERE