- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Managed Care Specialist Job Summary Handles credentialing and enrollment processes for healthcare providers and facilities. This role is critical to the ... of Western Kentucky Healthcare System (WKHS) and the Jennie Stuart Health Managed Care Department, supporting accurate provider setup and alignment with… more
- BayCare Health System (FL)
- …or Health Care Administration Certifications + **Preferred:** Certified Provider Credentialing Specialist (CPCS) Experience + **Required:** includes 3 years ... + Identifies issues and trends in quality measures and Credentialing Specialist performance and reports that information...credentialing in addition to preferred 1-year Managed Care experience. Why BayCare? Our network… 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 $65,911.68 ... for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required… more
- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: Full-Time ... be considered. Find Your Passion and Purpose as a Managed Care Contract Specialist What...+ Maintain monthly MC logs that summarize negotiation and credentialing activity. Maintain MC monthly logs for moves and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …am to 5 pm **Work Location:** El Paso **Preferred Qualifications:** + Three years of Credentialing experience in a managed care plan, medical staff services ... **42850BR** **Extended Job Title:** Medical Staff Credentialing Specialist **Org Level 1:** Texas...education and experience is required + Three years of Credentialing experience in a managed care… more
- Union Hospital Health Group (Terre Haute, IN)
- …Credentialing Specialist Details Essential Job Duties: + Credentialing /re- credentialing applications for managed care organizations and hospitals ... You belong at Union! The Payor Credentialing Specialist plays a key role...with revenue cycle duties and analysis + Performing other managed care tasks as assigned Education, Training… more
- US Physical Therapy (Uniondale, NY)
- …committed to providing top-quality care to our patients. We're hiring a ** Credentialing Specialist ** to join our fast-paced team! You'll play a key role ... provider enrollment/ credentialing experience (medical group, hospital, or managed care ) + Knowledge of CAQH, federal/state regulations, and credentialing… 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
- PruittHealth (Norcross, GA)
- …facilities within PruittHealth. **WORKING RELATIONSHIPS:** Directly Reports to: Director of Managed Care Contracts **ESSENTIAL JOB FUNCTIONS, DUTIES, AND ... **POSITION SUMMARY:** Responsible for submitting all credentialing and re- credentialing applications and attachments for all services and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …diploma or equivalent and one year of credentialing experience in an acute care hospital, managed care organization and/or credentialing verification ... JOB DESCRIPTION: + Under general supervision, coordinates activities related to credentialing of Medical Staff and Allied Health professionals. Serves as a… more
- TEKsystems (Baltimore, MD)
- …enrollment forms. Track provider numbers generated by third party managed care companies and enter into Echo credentialing software. Manage login/passwords ... TeKsystems is currently hiring for a FULLY REMOTE Payor Credentialing Specialist ! MUST HAVE: 2+ years working for a payor in credentialing role working with… more
- Elevance Health (Lake Mary, FL)
- …and re- credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies and protocols, standards, and requirements. + ... Develops and fosters collaborative relationships with managed care plans, state agencies and PBM's...Skills, Capabilities and Experiences:** + Strongly preferred certified Provider Credentialing Specialist and college course work. Please… more
- Trinity Health (Livonia, MI)
- …leadership. Fields telephone calls and monitors shared email inbox regarding managed care products, application requests, credentialing /recredentialing ... MSOW database and ensures mailing addresses, telephone numbers, participation in various managed care organizations, and other key demographics are up to… 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
- East Boston Neighborhood Health Center (Revere, MA)
- …care preferred. EXPERIENCE: One to three year's experience working in a Medical Staff Office, Credentialing or Managed Care in a hospital, managed ... of our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support staff… more
- HCA Healthcare (Sunrise, FL)
- …want you to apply! **Job Summary and Qualifications** **JOB TITLE** **- Managed Services Onboarding Specialist ** **GENERAL SUMMARY OF DUTIES:** **The Onboarding ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more
- Houston Methodist (The Woodlands, 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
- MyFlorida (Pensacola, FL)
- …The Department of Children and Families and The Office of Children's Medical Services Managed Care Plan and Specialty Programs. The program offers home-based ... REGISTERED NURSE SPECIALIST - 64040063 Date: Dec 4, 2025 The...MFC RN will work in collaboration with the Medicaid Managed Care Plan, the Community Based Agency… more
- MyFlorida (Tallahassee, FL)
- …The Department of Children and Families and The Office of Children's Medical Services Managed Care Plan and Specialty Programs. The program offers home-based ... REGISTERED NURSE SPECIALIST - 64000663 Date: Nov 14, 2025 The...MFC RN will work in collaboration with the Medicaid Managed Care Plan, the Community Based Agency… more
- Access: Supports For Living (Middletown, NY)
- …portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid, Medicaid Managed Care and other payers' billing regulations for all programs. + ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Nov...required for revenue management report generation, and assist with credentialing management and regulatory audits. Duties/Responsibilities: + Promote revenue… more