Help shape the quality of healthcare from behind the scenes. Optum, part of UnitedHealth Group, is hiring a Provider Enrollment Specialist to ensure providers are properly credentialed, verified, and ready to deliver care. You’ll play a crucial role in maintaining compliance, improving provider experience, and supporting access to care across Massachusetts and neighboring states.
About Optum
Optum is a global organization using technology, data, and compassion to connect millions of people with better healthcare. By simplifying administrative processes and enhancing provider networks, Optum empowers clinicians to focus on what matters most—patient care.
Schedule
Full-time, Monday–Friday
Remote for residents of Massachusetts, Rhode Island, Connecticut, or New Hampshire
Up to 25% travel within Massachusetts for site visits
Pay Range: $28.27 – $50.48 per hour (based on experience and location)
What You’ll Do
- Process and review provider enrollment and revalidation applications accurately and efficiently.
- Conduct verifications, credentialing, and on-site inspections to ensure compliance with regulations.
- Enter and maintain provider data in internal databases with precision.
- Perform quality assurance checks to reduce errors and enhance accuracy.
- Provide training and education to providers on billing, authorization, and administrative policies.
- Investigate and resolve nonstandard issues or enrollment discrepancies.
- Serve as a technical resource and subject-matter expert for the provider network team.
What You Bring
- Minimum 3 years of experience in credentialing, provider enrollment, network management, or provider relations within healthcare.
- Intermediate proficiency with Microsoft Word and Excel.
- Must reside in Massachusetts and be willing to travel up to 25% in-state.
Preferred Qualifications
- Strong knowledge of healthcare regulations and credentialing standards.
- Experience using platforms such as Salesforce or MMIS.
- Excellent written and verbal communication skills.
- Ability to manage deadlines and work both independently and collaboratively.
Benefits
- Paid Time Off (begin accruing from your first paycheck) + 8 Paid Holidays.
- Medical, Dental, and Vision Insurance with HSA/HRA options.
- Short-Term and Long-Term Disability, Life & AD&D Coverage.
- 401(k) Savings Plan + Employee Stock Purchase Program.
- Tuition & Education Reimbursement.
- Employee Assistance Program (EAP).
- Discounts on wellness, pet insurance, legal services, and more.
Join a trusted name in healthcare innovation and help streamline the systems that support patient care statewide.
Happy Hunting,
~Two Chicks…