- LA Care Health Plan (Los Angeles, CA)
- …Required Licenses/Certifications Preferred Certified Medical Staff Coordinator (CMSC) Certified Provider Credentialing Specialist (CPCS) Required Training ... Credentialing Specialist II Job Category: Administrative,... II Job Category: Administrative, HR, Business Professionals Department: Provider Data Management Location: Los Angeles, CA, US, 90017… more
- Spectrum Billing Solutions (Skokie, IL)
- …has the option to work 100% fully remote. Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers and ... and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If...government health plans. + Review provider credentialing and contracting information to ensure… more
- Robert Half Office Team (Oakland, CA)
- Description Robert Half Healthcare Group has an immediate opening for a Credentialing Specialist for one of our leading healthcare clients! The Credentialing ... (ie, Medi-Cal, NCQA, DHS, DMHC, and CMS). Requirements The ideal candidate for this Credentialing Specialist role MUST HAVE recent experience of 2 years or more… more
- Medical Mutual of Ohio (OH)
- …similar administration, which includes team lead or supervisory experience. . Certified Provider Credentialing Specialist (CPCS) preferred. . Intermediate to ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...timely and accurate credentialing and updating of provider demographic data and contract maintenance to… more
- Trinity Health (Boise, ID)
- …and guidelines. Responsible for issuing new network Participation Agreements for all network provider types. Assists Contract Specialist in verifying ... in behaviors, practices, policies and decisions. Manages the operational work for SAHA provider credentialing and SAHA provider file maintenance under the… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …documents are entered and/or scanned into the Doctors HealthCare Plans, Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support to ... Onsite-Not a remote position Maintain an efficient provider credentials system by ensuring completed credentials CAQH... Credentialing Department. This position will assist the Credentialing Department in the timely processing of Initial … more
- Medical Mutual of Ohio (OH)
- …and help our members achieve their best possible health and quality of life. Provider Contract Support Specialist Under general supervision, supports ... maintains contract management files and documentation. Senior Provider Contract Support Specialist Under... credentialing , claims, or other to the appropriate Provider Contract Manager or internal department; performs… more
- Robert Half Office Team (Sarasota, FL)
- …the efficient organization and updating of the payer contract template. * Provide assistance to the credentialing team by supplying health plan fee schedule ... Description We are seeking a Credentialing Specialist to join our team...will be entrusted with the management of health insurance contract information, ensuring the smooth running of our operations.… more
- Amergis (Tampa, FL)
- …staffing experiences to deliver the best workforce solutions. The Onboarding and Credentialing Field Support Specialist provides the highest level of customer ... to caregivers, field staff, clients, patients, offices and coworkers. The Onboarding and Credentialing Field Support Specialist will contribute to the culture of… more
- Amergis (Pittsburgh, PA)
- …creates unmatched staffing experiences to deliver the bestworkforce solutions. The Credentialing Specialist provides the highest level of customer service ... connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and...to clients, suppliers, and team members. The Credentialing Specialist contributes to the culture of… more
- CareFirst (Baltimore, MD)
- …details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment ... with the Legal Department for any changes to standard contract templates. Work with Legal to develop and review...expert in support of BCBSA workgroups. + Performs the provider credentialing as assigned, and data maintenance… more
- Sharp HealthCare (San Diego, CA)
- … provider orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally ... and provider communications to ensure compliance with regulations and contract requirements.Coordinates plan medical group and provider transitions and… more
- Logan Health (Kalispell, MT)
- …processes? At Logan Health, we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. Your role will be ... current and compliant. + Maintain Provider Records: Ensure all provider credentials, licenses, certifications, and re- credentialing documents are up-to-date… more
- Molina Healthcare (Grand Rapids, MI)
- …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... in the negotiation of medical group/IPA and hospital contracting. * Identified as contract system lead by developing and maintaining provider contracts in … more
- Department of Energy (Idaho Falls, ID)
- …all these duties and will receive training to help you grow in this position. As a Contract Specialist , you will: Serves as a senior contract specialist ... within DOE, performing reviews of statements of work, contract specifications and/or requirements for compatibility with procurement laws and work performed by other… more
- Bureau of Engraving and Printing (IN)
- …Bureau of Engraving and Printing, within the Office of the Chief Procurement Officer. As a Contract Specialist , you will serve as a senior level contract ... Office of the Chief Procurement Officer. Responsibilities As a Contract Specialist , you will: - Serve as...of Financial Management, Office of General Counsel, etc.) and provide expert leadership to the Acquisition Team. Requirements Conditions… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Provider Relations Specialist (Remote Option within SHP Service Area) **Cost ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Provider Relations Specialist works in cooperation with the Contracting Manager… more
- Elevance Health (Morristown, NJ)
- … Compliance, etc) + EDI experience + Provider Compliance + Resolve Provider /Participant issues + Provider Credentialing + Claims Resolution Please be ... Pulse Point location **Shift:** Monday - Friday; 8:00am - 5:00pm The **SCA Provider Relationship Research Specialist ** is responsible for improving the providers… more
- Bureau of Engraving and Printing (District Of Columbia, DC)
- …the Office of the Chief Procurement Officer. As a Supervisory Contract Specialist (Chief Procurement Officer), you will provide top level Bureau policy ... employees engaged in supply and procurement functions. Responsibilities As a Supervisory Contract Specialist (Chief Procurement Officer), you will: Designate and… more
- Centene Corporation (Lenexa, KS)
- …compliance with State requirements + Create and maintain multiple databases, including, contract provider network, prior authorization, third party liability, ... set ups and related corrections + Oversee the provider termination process including adding and changing new or...and ad hoc basis and ensure state compliance + Provide appropriate reports and statistical data to other department… more