- Hartford HealthCare (Wethersfield, CT)
- …Tallwood Urology & Kidney. Position Summary: The Senior Director will provide \ strategic leadership to the HHC System Credentialing Verification Organization ... The Senior Director will have oversight for credentialing and provider enrollment and medical staff...and enrollment databases * Responsible for ensuring that the credentialing data is accurate and available for… 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...entry of provider information to ensure accurate provider directories and overall data integrity. 4.… more
- Trinity Health (Boise, ID)
- …in behaviors, practices, policies and decisions. Manages the operational work for SAHA provider credentialing and SAHA provider file maintenance under the ... managing the daily network operations including but not limited to: customer and provider relations, credentialing and provider file maintenance. Provides… more
- Southeast Health (Dothan, AL)
- …initial enrollment and re- credentialing + Accountable for directly entering and updated provider data into the data repository of credentialing ... progressive experience in healthcare field Required Knowledge/ Skills/ Abilities + Certified Provider Credentialing Specialist (CPCS) within three (3) years of… more
- Fresenius Medical Center (Franklin, TN)
- …pertinent field staff and credentialverification agent. + The monthly provider credentialing status report for review by the Director of Operations ... to ensure credentialing processis completed. Ensures all provider credentialing verification is performed in accordance...each division, and reporting variances and trends in the credentialing processas identified to the Director of… more
- Morehouse School Of Medicine (Atlanta, GA)
- …and maintain current and accurate data for all providers. + Complete provider credentialing and re- credentialing applications. + Monitor applications and ... 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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … documents are entered and/or scanned into the Doctors HealthCare Plans, Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support ... staff; + Creating a new electronic record in the credentialing database and perform data entry of...scanning; + Filing or scanning documents received. + Assisting Credentialing Director or designee with various tasks,… more
- Trinity Health (Livonia, MI)
- …initial drafting of RHM privilege forms in the PCCB module of the credentialing data base. Maintains the confidentiality of information acquired pertaining to ... following credentialing policies and procedures; maintaining an accurate physician data base; collecting data ; and participating in development and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …internal and external customers as appropriate. + Enters, updates and maintains data from applications into credentialing database? (HURON?), focusing on ... clearly with Investigators, their liaisons, research administration, as needed to provide timely responses upon request on day-to-day credentialing and… more
- Trinity Health (Livonia, MI)
- …following credentialing policies and procedures; maintaining an accurate physician data base; collecting data ; and participating in development and ... process in the MSOW database. Performs a variety of credentialing tasks at the direction of the management to...to gather the required documentation of current licensure. Conducts data entry to ensure an accurate physician data… more
- Behavioral Center of Michigan (Warren, MI)
- …computer applications DUTIES AND RESPONSIBILITIES: + Develop and document the credentialing , appointment and reappointment processes, obtains necessary data for ... document processes related to appointment and reappointments of providers. Maintain provider files and ensure timeliness and accuracy of appointments and… more
- Baptist Memorial (Memphis, TN)
- …Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications ... Summary Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain...Performs other duties as assigned. Responsibilities + Maintains current provider profiles in the BMG Credentialing database… more
- Molina Healthcare (TX)
- …customers as it pertains to other provider network management areas, such as provider contracts. Provider Data Governance which is a crucial leadership ... information for seamless member access to healthcare services. This role oversees provider data governance processes critical to effective payer functions such… more
- American Medical Association (Chicago, IL)
- …with a minimum of 10 years of proven health care-focused experience, preferably in credentialing or provider data management. 3. Minimum 10 years of ... Director , VeriCre Chicago, IL (Hybrid) The American Medical... Provide thought and industry leadership on physician data and credentialing through active participation in… more
- Medtronic (Mounds View, MN)
- …THAT CHANGE LIVES** In this highly visible, cross-functional leadership role, the Senior Director , Data Strategy, Portfolio & Enterprise Data Governance will ... privacy and security. **Day In The Life** The Senior Director , Data Strategy, Portfolio & Enterprise ...privacy regulations. + Work closely with senior leadership to provide strategic guidance on data governance and… more
- Organon & Co. (Jersey City, NJ)
- **Job Description** **The Position** The Director of Organon Commercial Data & Analytics Business Technology (BT) oversees the data -related initiatives, ... a modern, AI-ready data and analytics capability across Organon's Commercial function. Provide guidance and support to the company on data & analytics… more
- Ascension Health (Tulsa, OK)
- … Data Management: Oversight of provider promotion, provider data verification, and liaison with AMG analysts/ credentialing /medstaff for data ... resolve operational readiness and marketability issues, ensuring a seamless path to conversion. + Provider and Location Data : Oversee provider promotion and … more
- Sharp HealthCare (San Diego, CA)
- …review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing , profiling, etc. + Conducts quality ... and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP)… more
- Organon & Co. (Plymouth Meeting, PA)
- …**:** Provide exemplary technical leadership and mentorship to the data & solutions architecture team, fostering a culture of innovation, collaboration, and ... Description** **The Position** An exciting opportunity has arisen for Data & Solutions Architect to join our growing Organon...Under various US state laws, Organon is required to provide a reasonable estimate of the salary range for… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …patients in the care of the CVSL based on opportunities identified through survey data , provider feedback, and other sources. + Advises and assists with ... the entire service line. + Determines (in collaboration with Executive Division Director and FMG leadership) provider resource requirements and recruitment… more