- Health First (Rockledge, FL)
- …Operations * **Organization:** **HF Administrative Plan Inc* **Title:** *Provider Network Credentialing Specialist - Provider Network Operations * ... *POSITION SUMMARY* The Provider Network Credentialing Specialist is responsible for coordinating,...regulatory agencies including the National Committee for Quality Assurance ( NCQA ) and Centers for Medicare and Medicaid Services (CMS)… more
- RWJBarnabas Health (Somerset, NJ)
- Credentialing Specialist - Somerset, NJReq #:0000145791 Category:Clerical / Administrative Support Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... Short Hills Road, Somerset, NJ 07052 Job Overview: The Credentialing Specialist is accountable for performing duties...and develops a strong grasp of the medical staff operations and the cultures of each affiliated institution and… more
- Ventura County (Ventura, CA)
- …Current National Association of Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) or actively pursuing certification and ... Staff Services (NAMSS) in one of the following? + Certified Provider Credentialing Specialist (CPCS) + Certified Professional Medical Services Management (CPMSM)… more
- AdventHealth (Tampa, FL)
- …superior service. Implements the policies and standards to ensure that credentialing operations are in compliance with NCQA credentialing standards and ... experience LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED: . Certified Provider Credentialing Specialist (CPCS) certification and/or . Certified Professional… more
- Morehouse School Of Medicine (Atlanta, GA)
- …required. Experience: + Two (2) years of experience in the capacity of credentialing coordinator or credentialing specialist specializing in provider ... Medical Services Management ( CPMSM ) or Certified Professional Credentialing Specialist ( CPCS ) certification is...identity or expression. Job Duties Description of Job Duty Credentialing Operations : + Obtain and verify … more
- Medical Mutual of Ohio (OH)
- …Company is compliant with assigned National Committee of Quality Assurance ( NCQA ) accreditation requirements, Quality Programs, and regulations such as Medicare ... fully remote; Ohio residents preferred._** **Responsibilities** **Compliance & Accreditation Specialist ** + **Interprets standards and regulations and advises management… more
- Cleveland Clinic (Cleveland, OH)
- …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
- Cleveland Clinic (Mayfield Heights, OH)
- …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
- Cleveland Clinic (Cleveland, OH)
- …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunotherapy, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
- Cleveland Clinic (Dover, OH)
- …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
- Sharp HealthCare (San Diego, CA)
- …purpose of developing and enhancing provider relationships.Maintains the provider operations manual, and provider communications to ensure compliance with ... implements an Orientation Program for all new providers who meet the credentialing requirements and who are recommended for acceptance by the Network/UM/Contracting… more
- Blue Cross and Blue Shield of Louisiana (Monroe, LA)
- …directly manages these jobs: Business Analyst;Director, Provider Network Operations ;Provider Information Specialist ;Senior Provider Information Specialist ... are efficient and precise in accordance with BCBSA, CMS, NCQA , and URAC standards. **NATURE AND SCOPE** + Manages...+ This role reports to this job: DIRECTOR, PROVIDER CREDENTIALING AND INFORMATION;Director, Provider Network Operations +… more