- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Health Partners according to NCQA standards and the approved Health Partners credentialing program.Conducts primary source verification of credentials ... of practitioners and facilities to participate with the Health Partners (HP) Network. This includes the...with various payer groups as directed to include initial enrollment and re- credentialing to ensure continued participation.… more
- Atrium Health Charlotte (Charlotte, NC)
- Atrium Health Charlotte is seeking a Registered Nurse (RN) Manager, Pediatrics for a nursing job in Charlotte, North Carolina.Job Description & ... of a nursing unit to ensure quality, cost effective health care is provided by an educated and competent...that allows nurses to work in collaboration with interdisciplinary partners to achieve high quality patient outcomes. Ensures that… more
- Trinity Health (Clive, IA)
- …leadership and establishes direction for a comprehensive payer credentialing and enrollment team for MercyOne Regional Health Ministry (RHM). Combines expert ... knowledge of payer credentialing and enrollment , process improvement and change management to effectively build and lead a centralized and integrated … more
- Sea Mar Community Health Centers (Federal Way, WA)
- … Assistant is responsible for maintaining files and data entry for the credentialing team and maintain provider enrollment with insurance plans. The ... include, but are not limited to: + Maintaining all credentialing and provider enrollment files. + Entering...sorting mail. + Tracking and filing documentation received from health plans for specific providers. + Tracking credentialing… more
- CVS Health (Scottsdale, AZ)
- …enforcement and administration of quality control compliance for pharmacy provider enrollment ; pharmacy provider credentialing and contract audit sampling ... Bring your heart to CVS Health . Every one of us at CVS ...Network - This position is responsible for ensuring pharmacy enrollment compliance with respect to SOX internal controls, SSAE-16… more
- Baystate Health (Springfield, MA)
- …Medical Staff Office, Physician Recruitment Office, Physician Billing Office, Baycare Health Partners , Corporate Risk Management and Information Systems. ... **Summary:** Incumbent is accountable for a contribution to the revenue of Baystate Health System through the effective enrollment of employed providers into… more
- Guthrie (Sayre, PA)
- …handling confidential information Essential Functions: 1. Responsible for accurate and timely enrollment and re‐ enrollment with payers' partners by ... Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting &...a team. 4. Maintains strict confidentiality related to physicians credentialing information and patient health information in… more
- Fresenius Medical Center (Tyler, TX)
- …This position is responsible for: + State Medicaid application process + Medicare EDI enrollment . + ERA, EFT, Claims Enrollment + DDE and payer website access ... + Functions as a centralized group to best serve the Business for all enrollment needs. Provide visibility to the organization on the status of facilities during the… more
- Henry Ford Health System (Detroit, MI)
- …closely with Medical Staff Affairs, assures that all APPs meet or exceed the credentialing criteria set forth by Henry Ford Health and The Joint Commission. ... a defined group of APPs including setting expectations for APPs, ensuring credentialing , managing education, benefit, and salary issues, and participating on the… more
- Adelante (Phoenix, AZ)
- …POSITION SUMMARY The Medical Staff Services Specialist is responsible for internal credentialing and privileging, as well as payer enrollment new provider ... enrollment . This position ensures current providers maintain credentialing and active eligibility to provide services and ensure that applicable standards and… more
- Mercy University (Dobbs Ferry, NY)
- …overall supervision from the Director of Marketing for Workforce Credentialing and Community Impact, the Systems Specialist/Administrator's primary responsibilities ... ensure the timely processing of operations to support the Division of Workforce Credentialing and Community Impact across a broad array of technology and information… more
- HCA Healthcare (Coppell, TX)
- …best practice + Communicate standards and processes related to provider onboarding, credentialing , and payor enrollment + Conduct regular reoccurring team calls ... Ops, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...for process improvement and efficiency related to provider onboarding, credentialing , and enrollment + Collaborate with Central… more
- CVS Health (Princeton, NJ)
- …care entities to simplify provider requirements and remove administrative barriers across credentialing health plans and + Develop and implement provider claim ... Bring your heart to CVS Health . Every one of us at CVS ...Administrator, CEO, COO, CMO, CFO, and all matrixed growth partners to expand the ABHNJ provider network to effectively… more
- Bon Secours Mercy Health (Youngstown, OH)
- …and inventory of clinic supplies, medication and equipment. 7. Assists Enrollment Revalidation Department with the initial credentialing /recredentialing of ... At Bon Secours Mercy Health , we are dedicated to continually improving ...development and reporting of clinical metrics. Monitors performance and partners with Director and providers to create action plan.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …goals and metrics and collaborates with internal and external strategic partners integral to achieving outcomes. Leads program/specialty faculty team, student ... the programmatic/specialty strategic initiatives with faculty, staff, students, alumni, practice partners , and the community. Serves on or leads various school,… more
- State of Colorado (Arapahoe County, CO)
- …+ CAC III or LAC to support coaching and oversight of Behavioral Health Specialists working towards CAC credentialing Conditions of Employment: + Full ... Social Worker / Counselor II (Behavioral Health Specialist) - Marvin Foote YSC in Englewood...OR + Licensed Professional Counselor Candidate (LPCC) plus current enrollment in a Masters program for Social Work OR… more
- Henry Ford Health System (Wyandotte, MI)
- …as a medical executive reporting to the Chief Medical Officer of Henry Ford Health , Clinical Delivery System, and partners with the Hospital President and CNO ... improvement processes, clinical information systems, and the implications of the changing health care environment for medical credentialing are essential. .… more
- Providence (MT)
- …positive relationships with all Telehealth Providers while supporting their licensing, credentialing , and payer enrollment across multiple states and facilities. ... at risk. They will develop and maintain positive relationships with MSO partners to facilitate credentialing models supported for telehealth practices. They… more
- Henry Ford Health System (Detroit, MI)
- …Executive Officer of the HFMG and the Sr. Vice President & Chief Primary Health Officer. In collaboration with Primary Care Physicians, Nursing and other health ... evaluate impact and ROI, and review operational and administrative expenses. 3. Partners with leaders across HFH to achieve the growth strategies and targets… more
- University of Florida (Gainesville, FL)
- …Geography in Global Health Apply now (https://secure.dc4.pageuppeople.com/apply/674/gateway/default.aspx?c=apply&lJobID=529160&lJobSourceTypeID=796&sLanguage=en-us) ... Doc Associate Location: Main Campus (Gainesville, FL) Categories: Allied Health Department: 16220000 - LS-GEOGRAPHY Classification Title: Post-Doctoral Associate Job… more
