- East Boston Neighborhood Health Center (East Boston, MA)
- …Gove Street - Taylor Building Position Summary: The 340B Program, Licensing and Credentialing Manager is charged with oversight of NeighborHealth's 340B pharmacy ... you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential...of contact as it relates to the licensing and credentialing across outpatient and ambulatory pharmacy locations, ensuring all… more
- Elevance Health (Indianapolis, IN)
- …background. **Preferred Skills, Capabilities and Experiences:** + Strongly preferred certified Provider Credentialing Specialist and college course work. Please ... renewals. + Maintains confidentiality of all pertinent pharmacy and provider information. + Administers credentialing and re-...access for billing. + Pull Medicaid remits for billing team upon request if portal access is limited. +… more
- Insight Global (New York, NY)
- …with organizational objectives. Develop, implement, and enforce operational policies and procedures. Provide Credentialing team with the tools and training ... Job Description Our Credentialing team is core to our...our customers is completed efficiently and accurately. As a Credentialing Manager , you will be responsible for… more
- WestCare Foundation (Dandridge, TN)
- …Credentialing Specialist is responsible for overseeing insurance billing processes, managing provider credentialing and re- credentialing with payers, and ... Revenue Cycle Manager . + Collaboration: Work closely with the coding team , accounts receivable specialists, and other departments to resolve billing issues and… 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 ... 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 (Neptune City, NJ)
- …Required: + NAMSS certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS). If ... Our team members are the heart of what makes...Employee Discounts and much more The Senior Medical Staff Credentialing Specialist will manage the credentialing process… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics._ **Position** Advanced Practice Provider Manager - Cancer Center - Chicago, IL **Location** ... Type:** Full Time (Total FTE between 0.9 and 1.0) **Cancer Center Manager , Advanced Practice Provider (APP)** **Rush University Medical Center** **Chicago,… more
- The Cigna Group (Richmond, VA)
- …Ancillaries, and Physician groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member ... of the Provider Contracting Team and report to the...including but not limited to Claims Operations, Medical Management, Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing, and… more
- Centene Corporation (New York, NY)
- … Engagement Account Managers - PEAM). This role has overall responsibility of a team of NYC Provider Relations staff and will ensure staff is following ... policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues,… more
- East Boston Neighborhood Health Center (Revere, MA)
- … enrollment processes of the Medical Staff Office under the direction of the Credentialing Manager . This position will lead the coordination of the provider ... systems, provides information to requesting departments, hospitals, and agencies. Works with Credentialing Manager to develop and implement new systems and… more
- Commonwealth Care Alliance (Boston, MA)
- …to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing ... performance. By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping… more
- Commonwealth Care Alliance (Boston, MA)
- …and retention. * Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational ... Team Leadership & Development * Manage, mentor, and develop a team of provider relations account managers and representatives, setting clear goals… more
- The Cigna Group (Columbus, OH)
- …member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction ... partners. + Intimate understanding and experience with hospital, managed care, and provider business models. + Team player with proven ability to develop… more
- Ascension Health (Milwaukee, WI)
- …offer._ **Responsibilities** Ascension Wisconsin is looking for a Neurology Advanced Practice Provider Manager for our Columbia St. Mary's neurology department ... Outpatient General Neurology Physician Assistant or Nurse Practitioner to join our elite team ! 1 year of neurology experience preferred. This position could be based… more
- The Cigna Group (Mclean, VA)
- …Contracting Lead Analyst** serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role ... and managing relationships + Understanding and experience with hospital, managed care, and provider business models a plus + Team player with proven ability… more
- Immigration and Customs Enforcement (Jena, LA)
- …review reports to IHSC behavioral health unit administration for program and credentialing reviews. Provide tele-behavioral health services to other ICE ... Summary The Supervisory Behavioral Health Provider oversees clinical performance, program evaluations, and behavioral...appropriate plan of care. Determines the need for and provide direct mental health services to detainees with identified… more
- Rush University Medical Center (Chicago, IL)
- …registered nurse (APRN) who functions as a member of the health care team to provide high quality, comprehensive acute and/or routine medical/surgical care ... Medical Center Department: Ogden - Orthopaedics Orthopedic Lead - Advanced Practice Provider Rush Copley Medical Center Aurora, IL **Rush Copley Medical Center** ,… more
- STG International (Yellowstone National Park, WY)
- …join our team . JOB SUMMARY: The general duty of the Primary Care Provider is to provide covered professional outpatient primary medical services to the ... clinical methods and procedures and suggest improvements. * Assist the Project Manager in implementation of Quality Performance Improvement Team (QPIT) strategic… more
- Arkansas Children's (Little Rock, AR)
- …CC603119 ACMG ACH Direct to Consumer Clinic **Summary:** The Advanced Practice Provider (APP) will exclusively provide telemedicine services and will work ... has received Magnet Status (https://www.archildrens.org/about-us/magnet-recognition) from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes.… more
- Integra Partners (Troy, MI)
- …onboarding experience, with heavy focus on new campaigns. + Execute on and maintain Provider "first 90-day experience." + Review and provide feedback on existing ... Integra Partners is looking for a Client Experience Manager for our Network Department. This role is...credentialing progress/challenges, training progress and challenges. + Develop provider scorecard and actively report on trends to support… more