- Elevance Health (Plano, TX)
- …through our specialty pharmacies, our infusion centers, and the home setting._ **Title:** Managed Care Credentialing Specialist (Risk Management Analyst) ... Hours (CST). **Build the Possibilities. Make an Extraordinary Impact.** The ** Managed Care Credentialing Specialist ** is responsible for Responsible… more
- HCA Healthcare (Sunrise, FL)
- …and DHPs on annual mandatory division requirements. The DHP Credentialing Specialist ensures access and provision of patient care services to HCA-affiliated ... colleagues invested over 156,000 hours volunteering in our communities. As a Credentialing Specialist WFH with HealthTrust Workforce Solutions WFH you can… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $63,840.00 ... for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required… more
- Cedars-Sinai (CA)
- …**Experience:** + Two (2) years of prior credentialing experience in an ambulatory care /Medical Group or HMO setting with Managed Care exposure or in ... **Job Description** The Credentialing Specialist will assist the Manager,...is a leader in providing high-quality healthcare encompassing primary care , specialized medicine and research. Since 1902, Cedars-Sinai has… more
- Banner Health (CO)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... we're excited about what the future holds for health care . That's why we're changing the industry to make...National Certification as a Medical Staff Services Professional or Credentialing Specialist is preferred. Knowledge of medical… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Credentialing Specialist will be responsible for auditing, data entry performed by ... Commission preparation and NY State DOH Survey Participate in Managed Care Audits Assist in preparation and...the use of the Cactus Database CPCS (Certified Provider Credentialing Specialist ) Knowledge of Cactus a plus… more
- UNC Health Care (Chapel Hill, NC)
- …of listings and reports. Assists with onsite audits of credentials files by managed care organizations. Assists with day-to-day operations of the office. ... Summary: Responsible for the coordination/processing of all applications for credentialing /recredentialing of practitioners to UNC Hospitals Medical Staff and Allied… more
- Baptist Memorial (Memphis, TN)
- …and Experience Education Minimum: Bachelor's degree Experience Preferred: 3 years of managed care or equivalent related experience. Minimum: 2 years of ... messengering to BHSG providers. Assists with operational administration of credentialing and recredentialing verification documentation for BHSG facility and... managed care or equivalent related experience. Licensure,… more
- US Anesthesia Partners (Dallas, TX)
- …+ Processes initial applications and reappointments for hospitals, surgical centers and managed care entities for assigned divisions. + Maintains complete file ... military service, or other non-merit based factors. (https://careers-usap.icims.com/jobs/15229/facility- credentialing - specialist -ii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336089587) Job ID2024-15229 FunctionRevenue Cycle… more
- Staffing Solutions Organization (Augusta, ME)
- CNA Credentialing Specialist Augusta, ME 04330, USA Req #933 Monday, July 22, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...of our clients and the people they serve. **CNA Credentialing Specialist in Augusta, ME** Description: Support… more
- Scotland Health Care System (Laurinburg, NC)
- …position works with government agencies, third party payers, Medical Staff Coordinator and Managed Care Director, CHS MHR, and our medical providers to initiate ... enrollment and credentialing applications, maintain recredentialing and updates for individual providers and entities and subgroups of SMH, SRHN, and EMC.… more
- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Managed ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/27148) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- ProMedica Health System (Toledo, OH)
- Working with the Director and AVP of Managed Care , this position is responsible for developing and implementing managed care strategies and relationships ... network (ProMedica Health Network). Objective is to provide best in class managed care contracting, analytics, education, and service. ACCOUNTABILITIES 1.… more
- Ventura County (Ventura, CA)
- …Microsoft products and web-based queries. DESIRED + Previous hospital medical staff or managed care credentialing experience. + Experience with ... proper grammar and complete sentences, detail your previous hospital medical staff or managed care credentialing experience, being sure include dates,… more
- AdventHealth (Tampa, FL)
- …standards and CMS. Works with AdventHealth Medical Group (AHMG), AdventHealth leadership, Managed Care Organizations and other departments within AdventHealth to ... experience LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED: . Certified Provider Credentialing Specialist (CPCS) certification and/or . Certified Professional… more
- SUNY Upstate Medical University (Syracuse, NY)
- …written, oral, and electronic forms required. Preferred Qualifications: Knowledge of managed care enrollment desirable. Credentialing experience preferred. ... Job Summary: The Credentialing Coordinator is responsible for credentialing ,...Certification as either Provider Credentialing Specialist (CPCS) or Professional in Medical Services Management (CPMSM)… more
- Prime Healthcare (Kansas City, MO)
- …and providing regular updates to Regional Directors. + Possess comprehensive knowledge of managed care company and plan requirements. + Monitors and maintains ... 1. Associates degree preferred or equivalent education/experience. 2. Certified Provider Credentialing Specialist (CPCS) preferred 3. Must have strong computer,… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- UNC Health Care (Raleigh, NC)
- …the user level. 7. Assists with onsite audits of credentials files by managed care organizations. Assists with providing credential files for all accreditation ... well-being of the unique communities we serve. Summary: Performs credentialing and technical related duties within Med Staff Services...NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.… more
- Northwell Health (New York, NY)
- …inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing , managed ... re- credentialing requests and coordinates site visits related to managed care contracts. + Prepares and reviews physician membership applications; verifies … more