Global Provider Network Credentialling Specialist

Requisition Number: 2355425
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.
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 US 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 that 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. This position is highly detail oriented and essential to ensuring quality, governance, and regulatory compliance across an emerging global medical provider network.
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

Dashboard Updates & Reporting

• 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:
If you don't meet every single requirement, don't let that hold you back - we're just as excited about potential as we are about qualifications and experience, and you could be exactly who we're looking for.

• 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 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
• Demonstrable high attention to detail, with an ability to verify information, identify gaps, and maintain structured organisation
• Demonstrated excellent written and verbal communication skills for engaging with physicians, clinics, and medical authorities internationally
• Proven solid organisational skills with the ability to manage multiple provider/practitioner files simultaneously
• Demonstrated proficiency with Microsoft 365 tools, especially Excel, SharePoint, Outlook, and Teams
• Proven ability to work independently and as part of a small team, managing priorities in a fast paced environment
• Proven ability to be comfortable working across time zones, with international providers and practitioners from multiple countries and cultures

Other useful skills and experience include:

• Proven experience credentialling international medical professionals or handling multi country regulatory requirements
• Demonstrated familiarity with physician licensure, medical registration systems, and healthcare governance processes
• Proven experience supporting compliance or contracting workflows
• Demonstrable 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.
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 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. © 2026 UnitedHealth Group. All rights reserved.
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