- Ageless Mens Health (Las Vegas, NV)
- …in 18 states, Ageless Men's Health is looking to add a full-time Credentialing Manager to our medical billing team in Las Vegas, NV. This is a full-time, ... state and federal laws and guidelines + Expertise in provider /payer credentialing and contracting. Deep knowledge of...member and project compliance with HIPAA standards + Communicate team member non-compliance with Operations Manager +… 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 ... network operations including but not limited to: customer and provider relations, credentialing and provider ...and input during performance appraisals within the assigned work team . In conjunction with the Saint Alphonsus Health Alliance… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Regional Manager of Credentialing and Auditing Rochester, NY (http://maps.google.com/maps?q=114+University+Ave+Rochester+NY+USA+14605) * Revenue Cycle Job Type ... Full-time Description Regional Manager of Credentialing and AuditingAffiliate Wide -... Credentialing and Coding and identifies potential risks. Credentialing + Coordinates all aspects of individual provider… more
- Omnicell (Grapevine, TX)
- …perform at the highest level. **Essential Functions** **New Pharmacy Enrollment and Credentialing Team ** + Manages fulfillment of all legal requirements with ... **Summary** The Manager of Licensing & Credentialing supports...Specialty fulfillment and heat zones. + Oversees new pharmacy credentialing and enrollment. **PBM/Payor Contracting and Audit Team… more
- HCA Healthcare (Nashville, TN)
- …be a part of our team . **Job Summary and Qualifications** As the Manager of Credentialing Processing Center in the Shared Services Division (SSD), you should ... join an organization that invests in you as a Manager Credentialing Processing Center? At Parallon, you...these across the operations. Additionally, you will develop applicable credentialing policies and procedures and provide input… more
- Texas Health Resources (Southlake, TX)
- …of physicians and other licensed staff strongly preferred + CPCS - Certified Provider Credentialing Specialist Required within 3 years of hire OR + ... **Medical Staff Program Manager - Credentialing Services Fulltime Days**...as required. Enter or post requested privileges in database. Provide statistical information on the credentialing process… more
- Elevance Health (Altamonte Springs, FL)
- …background. **Preferred Skills, Capabilities and Experiences:** + Strongly preferred certified Provider Credentialing Specialist and college course work. Please ... **Be Part of an Extraordinary Team ** _BioPlus Specialty Pharmacy is now part of...renewals. + Maintains confidentiality of all pertinent pharmacy and provider information. + Administers credentialing and re-… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …a Lead Health Systems Specialist - C&P Specialist. They are assigned to the Credentialing and Privileging (C&P) Office at a VA Medical Center (VAMC) and is ... technical direction and support to the C&P Specialists, C&P Manager and to program operations. They perform a variety...regarding routine and complex matters related to C&P including provider competence for the ongoing provider practice… more
- Trinity Health (Livonia, MI)
- … process for Trinity Health RHMs. This position is an integral part of the credentialing team and is responsible for following credentialing policies and ... PURPOSE** Ensures the timely completion of an application for initial and/or re- credentialing by assisting the applicant in submitting all documentation necessary to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Preferred: + NAMSS certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS). **Job ... **Overview** Our team members are the heart of what makes...Reimbursement, Employee Discounts and much more The Medical Staff Credentialing Specialist Initial will complete the credentialing … more
- Amergis (Tampa, FL)
- …while maintaining attention to detail + Ability to effectively elicit from and provide information to all team members, caregivers and clients using strong ... by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals,… more
- Amergis (Pittsburgh, PA)
- …Specialist provides the highest level of customer service to clients, suppliers, and team members. The Credentialing Specialist contributes to the culture of the ... + Enforces supplier compliance established by the Clinical Program Manager + Documents and maintains proficiency in all support...to detail + Ability to effectively elicit from and provide information to all team members, clients… more
- HCA Healthcare (Coppell, TX)
- …**_Note: Eligibility for benefits may vary by location._** Come join our team as a Manager Provider Ops. We care ... Urgent Care Service Line, the Provider Operations Manager leads and supports team of ...files if applicable + Conduct performance evaluations for UC Provider Liaison Specialist team + Provide… more
- University of Michigan (Ann Arbor, MI)
- …Advanced Practice Provider (APP) Manager **Job Title** Advcd Prac Provider Manager **Work Location** Michigan Medicine - Ann Arbor Ann Arbor, MI ... Specialties (Adult Plastic, Vascular, Thoracic, Maxillofacial, Adult/Pediatric Transplant) Advanced Practice Provider (APP) Manager Apply Now **Job Summary** The… more
- The Cigna Group (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** 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 (Hartford, CT)
- …Wed, + 1 Flex Day) in the office/local travel to Market Providers.** The ** Manager , Provider Contracting Network Management** 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
- Molina Healthcare (NV)
- …live in Nevada _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… more
- University of Virginia (Charlottesville, VA)
- …great professional growth opportunity for future leadership positions. The Advanced Practice Provider Manager is a clinical expert and an administrative leader ... This is a Manager position for the Advanced Practice Providers (NP...who manages Advanced Practice Provider (APP) team members within their respective… more
- Molina Healthcare (MS)
- …network management and credentialing . **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the daily ... level engagement as required. * Educates internal customers on provider contracts. * Participates on the management team... provider contracts. * Participates on the management team and other committees addressing the strategic goals of… more
- Trinity Health (Farmington Hills, MI)
- …in behaviors, practices, and decisions. Completes and maintains the following Provider applications (both Initial and Re- credentialing /Renewals) as required ... Credentialing DEA/ Licensure Revalidations CAQH MSOW Updates and maintains provider demographic information in credentialing database. Requests and maintains… more