- MultiPlan (Atlanta, GA)
- …areas and serve as subject matter expert committee member5Interact with Medical Director on credentialing , certification and insurance issues.6Serve as subject ... methodologies, language, non-standard language changes/contract forms and certification and credentialing requirements7Identify and present opportunities for process improvementIdentify and… more
- Roseland Community Hospital (Chicago, IL)
- …the administrative functions related to medical staff operations, including credentialing , onboarding, scheduling, and compliance. This role ensures that the ... and that all regulatory and organizational standards are met. ESSENTIAL FUNCTIONS: 1. Credentialing and Licensing: o Manage the credentialing process for new… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …across all assigned locations. Develops, changes, maintains and updates provider scheduling templates within the practice management system. Develops, monitors ... concerns in an articulate and diplomatic manner both verbally and in writing. Provider Relations. Assists providers in managing patient schedules through the practice… more
- Major Health Partners (Shelbyville, IN)
- JOB SUMMARY AND SPECIFICATIONS JOB SUMMARY Collaborates and consults with Medical Director to provide comprehensive health care to patients through an organized, ... team to address complex patient problems, developing systems and practices that provide for continuity and communication between team . This job description is… more
- Major Health Partners (Shelbyville, IN)
- JOB SUMMARY AND SPECIFICATIONS JOB SUMMARY Collaborates and consults with Medical Director to provide comprehensive health care to patients through an organized, ... to address complex patient problems, developing systems and practices that provide for continuity and communication between team . MINIMUM QUALIFICATIONS… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* The Provider Network Credentialing Specialist is responsible for coordinating, monitoring and maintaining the credentialing and re- ... and Finance as well as reports for the Medical Director , Credentialing Committee and the Board of...term letter process, including all member communication related to provider terminations. 11. Serve as credentialing information… more
- University of Washington (Seattle, WA)
- …and manage all currently certified King County paramedics as the single EMS Provider Supervisory Organization. The Assistant Director will be a senior member ... students and staff and directs, under the guidance of the Director , administrative, operational, credentialing , and educational operations. This position… more
- LifePoint Health (Winchester, KY)
- …Committee complete applications. Able to independently review and escalate issues involving credentialing /privileging to Director . Must be able to work in a ... acute care, community-based hospitals, with over 50 outpatient clinics that provide comprehensive healthcare in the Bluegrass region. Bluegrass Community Hospital… more
- Blue Cross and Blue Shield of Louisiana (Monroe, LA)
- …Specialist;Supervisor, Provider Information + This role reports to this job: DIRECTOR , PROVIDER CREDENTIALING AND INFORMATION; Director , Provider ... responsible for leading all Credentialing efforts to ensure that BCBSLA's provider credentialing practices are efficient and precise in accordance with… more
- Morehouse School Of Medicine (Atlanta, GA)
- …Compile and maintain current and accurate data for all providers. + Complete provider credentialing and re- credentialing applications. + Monitor applications ... in the capacity of credentialing coordinator or credentialing specialist specializing in provider enrollment. +...Provide consistent and timely follow-up on all outstanding credentialing /re- credentialing files. + Prepare and scan … more
- Adecco US, Inc. (Modena, NY)
- …billing staff to identify and resolve any denials or authorization issues related to provider credentialing * Maintain accurate provider profiles on CAQH, ... * High school diploma or GED * Knowledge of provider credentialing and its direct impact on...commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of… more
- HCA Healthcare (San Antonio, TX)
- …Required:** Required: Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) or able to obtain such ... Credentialing questions. Acts as designee of MHS Division Director of Medical Staff Services, as assigned, or in...patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the… more
- Banner Health (Tucson, AZ)
- …Requires Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) or comparable experience and ... We are looking for a dynamic individual with well-rounded medical staff and credentialing experience, and solid organizational skills. We are fortunate to work in an… more
- Trinity Health (Livonia, MI)
- …and support to System Office staff responsible for providing physician credentialing support to the Regional Health Ministries (RHMs) including application ... performance planning and review sessions. Performs a variety of credentialing tasks at the direction of CVO management to...evaluating potential colleagues and coordinates with the manager to provide the necessary training. Assists as needed to … more
- Trinity Health (Livonia, MI)
- …Ensures the timely completion of an application for initial and/or re- credentialing by assisting the applicant in submitting all documentation necessary to ... process the application. Performs a variety of credentialing tasks at the direction of CVO management to...Performs other duties as needed and assigned by the Director . Maintains a working knowledge of applicable Federal, State… more
- Catholic Health Services (Melville, NY)
- …skills Well versed in the use of the Cactus Database CPCS (Certified Provider Credentialing Specialist) Knowledge of Cactus a plus Knowledge or experience ... in Managed Care Audits Assist in preparation and mailing of correspondence required for Credentialing , when necessary Provide support services and act as back up… more
- HCA Healthcare (Aurora, CO)
- …the traditional focus on medical needs to the needs of the whole person. Provide technical and administrative support to Director of Medical Staff Services, ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...TMCA. This includes exercising independent judgment, free from the Director 's oversight, on a regular and routine basis. The… more
- The Cigna Group (Plano, TX)
- …TEXAS market - can live in Houston, San Antonio, Dallas or Plano** The ** Director , Provider Contracting - Medicare** serves as an integral member of the ... Network Development and Strategy Team and reports to the Provider Contracting Senior Manager. This role is a key contributor to the development of the strategic… more
- The Cigna Group (San Diego, CA)
- …**_OCATION:_** **_HYBRID_** **_position aligned to the San Diego, CA market._** The ** Director ,** ** Provider Contracting** serves as an integral member of the ... Provider Contracting Team and reports to the ...including but not limited to, Claims Operations, Medical Management. Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing and… more
- The Cigna Group (Houston, TX)
- **LOCATION:** **Can be based in Houston, Austin or San Antonio, TX** ** PROVIDER CONTRACTING ADVISOR** This position serves as an integral member of the Provider ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
