- Northeast Georgia Health System, Inc (Gainesville, GA)
- …with credentialing program. Follows proper documentation practices and maintains provider files in an orderly and secure fashion.Initiates contact with the ... providers.Maintains regulatory compliance and promotes quality customer service. Ensures provider satisfaction issues regarding noncompliance with credentialing … more
- Lundbeck (Orange County, CA)
- …Leading People Achieves business objectives and sales results by observing Account Manager interactions with target customers, extended treatment team members, ... on our journey of growth! As an Area Sales Manager (ASM) you will be responsible for leading, developing,...leading, developing, and managing a diverse, high performing sales team to achieve sales goals for promotedproducts within our… more
- Eisai, Inc (Boston, MA)
- …of: NYC, NJ, RI, CT, MA, NH, ME, VT Job Summary The Senior Manager , Access and Reimbursement will appropriately inform, support and manage regional customers' needs ... patient assistance, reimbursement support, distribution and coverage policies). The Senior Manager , Access and Reimbursement is a customer-facing resource that is… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of improving the health of our communities. About the Role:Job SummaryPractice Manager III will work independently and have primary responsibility for supervising ... with all administrative and clerical staff of his/her assigned area(s). The Practice Manager III must have the ability to perform and prioritize multiple tasks and… more
- University of Virginia (Charlottesville, VA)
- …Health Medical Group (UVACHMG) in complying with all UPG and UVACHMG delegated credentialing and enrollment processes to maintain provider eligibility to bill ... of Professional Billing Spreadsheet and forwards to EPIC PB Team of all new physicians and allied health professionals...and entry of all physician and allied health professional credentialing information into the Symplr provider database… more
- Elderwood (Monroe County, NY)
- …Independent Practice Association (IPA) is seeking an Contracting and Credentialing Manager to join our incredible growing team of professionals. The ideal ... provider monthly monitoring process. Qualifications Senior Contracting & Credentialing Manager Educational Requirements and Qualifications + Bachelor's… more
- Trinity Health (Livonia, MI)
- …on the various MSOW software modules. This position is an integral part of the credentialing team and is responsible for following credentialing policies and ... process as a team member evaluating potential colleagues and coordinates with the manager to provide the necessary training. Assists as needed to provide … more
- State of Georgia (Baldwin, GA)
- …Chief Financial officer to identify and resolve denied authorization problems related to provider credentialing . . Maintain accurate profiles on NPPES and CMS ... Review listings for CWRO2 or 60282 License/Certifications: . CPCS- Certified Provider Credentialing Specialist- Certificate . AAPC- Certified-American Academy of… more
- Limitless Male (Omaha, NE)
- …with HR, Operations, and the Revenue Cycle team when a new provider is starting, and their enrollments/ credentialing are complete to ensure on-time starts ... men feel their best! SUMMARY: The Credentialing Specialist is responsible for credentialing each provider with the necessary facilities and clinics as well… more
- Hackensack Meridian Health (Neptune, NJ)
- …+ Demonstrate a solid understanding of credentialing and NCQA guidelines around Credentialing and Provider Network. + Verifying the accuracy of all submitted ... to the Credentialing Committee, assisting customers with credentialing inquiries, responding to health plan provider ...system information systems as needed. + Provides support to Manager , Credentialing and Coordinators to help ensure… more
- Cedars-Sinai (CA)
- **Job Description** The Credentialing Specialist will assist the Manager , Quality Management / Credentialing in all credentialing activities. The primary ... NCQA Standards and health plan policies and procedures that pertain to credentialing . + Processes medical staff applications from receipt to completion. + Performs… 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
- Amergis (Phoenix, AZ)
- …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
- Blue Cross and Blue Shield of Louisiana (Monroe, LA)
- …corporate goals are obtained. + Responsible for developing the Operational Plan for the Provider Credentialing team that ties to the overall departmental ... all Credentialing efforts to ensure that BCBSLA's provider credentialing practices are efficient and precise... information is entered accurately, timely, and efficiently to provide for proper claims adjudication, provider directory… 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 ... and Women's Surgical Specialties and OB/GYN - Advanced Practice Provider (APP) Manager Apply Now **Job Summary**...collaborate in a manner that fosters teambuilding and to provide visionary direction for team members. +… more
- CVS Health (Hartford, CT)
- …intake process which includes audit and oversight of audit resources of all provider contract/ credentialing materials received from provider , provider ... well as research and analysis to inform solutions, close gaps and maximize the provider network. Lead a team of Network Development Auditors responsible for… more
- The Cigna Group (Nashville, TN)
- **Summary** The Data Governance & Ownership (DG&O) Senior Manager will work with the Provider Data Quality & Accuracy (PDQA) Director to establish the framework ... and policies to drive improvements in the provider data domain to ensure we meet specific goals...by business and regulatory requirements. They will lead a team of data stewards responsible for maintaining data lineage,… more
- HCA Healthcare (Nashville, TN)
- …part of our team . **Job Summary and Qualifications** As the Market Provider Engagement Manager , you direct and coordinate client and customer service ... Our Talent Acquisition team is reviewing applications for our Market Provider Engagement Manager opening. Qualified candidates will be contacted for… more
- Molina Healthcare (Louisville, KY)
- …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
- University of Virginia (Charlottesville, VA)
- The Advanced Practice Provider Manager is a clinical expert and an administrative leader who manages Advanced Practice Provider (APP) team members within ... care, research, education, professionalism, and regulatory compliance. The APP Manager is accountable for human resource needs, workforce planning, development… more
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