Global Provider Network Credentialling Specialist

Global Provider Network Credentialling Specialist ()

Optum is a global organization that delivers care. This role sits at the heart of a new international team responsible for building a high performing global medical provider network across over 40 countries to initially deliver disability examinations for the United States Veterans Benefits Association (VBA). The provider network could be further expanded for other clients, markets or pursuits, as required.

You will be responsible for verifying physician and clinic qualifications, validating professional registrations, assessing compliance documentation, managing credential files, and ensuring all providers meet required standards before onboarding.

This role begins once the sourcing specialist has identified an interested provider. You will perform structured credentialling checks, maintain the accuracy of provider records, track progress across countries, and ensure all data is captured in dashboards and databases.

Please note: this role is a 6 month fixed term contract.

What You'll Do Physician & Clinic Credentialling

• Conduct full credentialling for physicians and clinics across multiple countries.
• Verify license validity, registrations, qualifications, certifications, and training records.
• Validate professional standing, including checks for sanctions, disciplinary actions, or regulatory restrictions.
• Coordinate and document interviews or clinical assessments where required.
• Identify missing or incomplete documentation and proactively request follow up items.

Documentation & Compliance Review

• Review, validate, and store credentialling documents in alignment with compliance and regulatory requirements.
• Ensure provider records are complete, audit ready, and appropriately filed.
• Escalate any irregularities to the Project Manager.

Provider Database Maintenance

• Maintain a central credentialling database that includes all provider qualifications, licenses, expiries, status updates, and compliance indicators.
• Ensure data accuracy, version control, and secure document management.
• Track expiring documents and follow up with providers to keep records current.
• Update credentialling dashboards to reflect real time provider status, documentation progress, country readiness, and compliance trends.
• Support reporting for internal leadership, risk governance, and programme oversight.

Country Progress Tracking

• Track credentialling status for each provider across all target countries.
• Maintain a clear view of where bottlenecks exist, what documentation is pending, and overall readiness by geography.
• Highlight risk areas, delays, or regulatory dependencies to the Project Manager.

Cross Functional Collaboration

• Work closely with the Global Provider Sourcing & Onboarding Specialist to ensure a smooth transition from "interested provider" to "credentialling in progress".
• Collaborate with other departments as required.
• Support early stage contracting by confirming credential files are complete.

You will be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role, as well as providing development for other roles you may be interested in.

What you will bring

• Degree (or equivalent experience) in a relevant field such as Healthcare Administration, Business, Global Health, Public Health, or a related discipline.
• Demonstrated experience in credentialling, compliance verification, medical staffing, or an administrative support role, ideally within healthcare or a similarly regulated environment.
• Proven solid ability to validate professional qualifications, licensure, certifications, and training.
• Demonstrated experience maintaining structured databases, trackers, or compliance systems.
• High attention to detail, with an ability to verify information, identify gaps, and maintain structured organisation.
• Excellent written and verbal communication skills for engaging with physicians, clinics, and medical authorities internationally.
• Strong organisational skills with the ability to manage multiple provider/practitioner files simultaneously.
• Proficiency with Microsoft 365 tools, especially Excel, SharePoint, Outlook, and Teams.
• Ability to work independently and as part of a small team, managing priorities in a fast paced environment.
• Comfort working across time zones with international providers and practitioners from multiple countries and cultures.

Other useful skills and experience include

• Experience credentialling international medical professionals or handling multi country regulatory requirements.
• Familiarity with physician licensure, medical registration systems, and healthcare governance processes.
• Experience supporting compliance or contracting workflows.
• Knowledge of international healthcare markets or regulatory landscapes.

All telecommuters will be required to adhere to the UnitedHealth Group's Telecommuter Policy.

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

UnitedHealth Group is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation, 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.