- Modivcare (Ridgeland, MS)
- …reports for management staff. * Handles complex issues related to provider credentialing . * Ensures adherence with applicable federal and/or state laws, ... right fit for you! This position is responsible for credentialing process to ensure contract fulfillment of... agreements. * Makes recommendation for process improvements to management / Credentialing Services team. * Maintains… more
- Robert Half Office Team (Chesapeake, VA)
- …through the initial and reappointment process. Responsible for updating two databases Credentialing Database Echo and CSC the document management system for ... We will not consider anyone without significant experience using the Echo credentialing database. Job description for Credentialing Analyst: Under general… more
- Providence (Spokane, WA)
- …some initial credentialing and government enrollment functions. Following initial provider credentialing the Provider Concierge also facilitates re- ... **Description** The Provider Transition Coordinator is responsible for collaborating, facilitating,... with both Medical Staff Services and the Delegated Credentialing Committee and maintains group enrollments with federal and… more
- University of Miami (Miami, FL)
- …of Medical Student Education has an exciting opportunity for a full-time Manager, Credentialing to work in Miami, FL. The Manager, Credentialing oversees of ... functions to support contracted facilities across all divisions. + Manages provider onboarding process, both internally and externally. + Oversees process in… more
- CVS Health (Scottsdale, AZ)
- …of quality control compliance for pharmacy provider enrollment; pharmacy provider credentialing and contract audit sampling fulfillment; and ... projects; interface with internal partners and lead cross functional task groups. Pharmacy Provider Credentialing & Contract Audit fulfillment - responsible… more
- Amergis (Pittsburgh, PA)
- …by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ... experiences to deliver the best workforce solutions. The Onboarding and Credentialing Field Support Specialist provides the highest level of customer service… more
- Robert Half Office Team (Dallas, TX)
- Description Description: Credentialing Specialists play a crucial role in ensuring the compliance and integrity of an organization's workforce by meticulously ... inquiries when required by law + Help develop internal credentialing processes + Monitor license and credential expiration dates...procedures + Strong computer skills + Proficiency in database management (if applicable) + Willingness to work as a… more
- University of Massachusetts Amherst (Amherst, MA)
- …performs annual reviews of vendors. + Responsible for the development and management of contract service budgets. Works collaboratively with Associate Directors ... Manager of Contracting & Insurance Credentialing Apply now (https://secure.dc4.pageuppeople.com/apply/822/gateway/default.aspx?c=apply&lJobID=523169&lJobSourceTypeID=801&sLanguage=en-us) Job no: 523169 Work… more
- Medical Mutual of Ohio (Dublin, OH)
- …Prioritizes and researches issues affecting providers and maintains contract management files and documentation **Responsibilities** ** Provider Contract ... refers issues regarding credentialing , claims, or other to the appropriate Provider Contract Manager or internal department; performs data entry and logs… more
- The Cigna Group (New York, NY)
- …NY and be able to work 3 days per week in our Manhattan office._** The **Manager, Provider Contract Network Management ** serves as an integral member of the ... matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing… more
- The Cigna Group (New York, NY)
- …matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing ... analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider… more
- UNC Health Care (Apex, NC)
- …interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost-effective care to patients ... with departmental guidelines and privileging, and schedules appropriate follow-up management . Actively incorporates evidence-based hospital initiatives to improve patient… 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 other internal areas affected by network changes. + Provide ongoing network management support to the...projects and lead projects as needed. + Performs the provider credentialing as assigned and data maintenance… more
- Hartford HealthCare (Bridgeport, CT)
- …of Medicine to manage administrative activities of the Dept of Medicine including credentialing , contract management and assisting with hiring processes. . ... hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St.… more
- The Cigna Group (Los Angeles, CA)
- …matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing ... out to in-person meetings with Providers._** The **AVP, Network Management ** serves as an integral member of the Network...projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +… more
- The Cigna Group (Seattle, WA)
- LOCATION: This position supports the Seattle, WA market. The **Director, Provider Network Management ** serves as an integral member of the Provider ... matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing… more
- The Cigna Group (Franklin, TN)
- …performed by the Tennessee contracting department. + Timely submission of provider contract , demographic, credentialing , and other information ... physician, providers, and practice managers. Has knowledge of contracting process, contract management , network operations, Medicare fee schedules, financial… more
- Henry Ford Health System (Troy, MI)
- …health systems. + Previous contracting, provider relations and/or provider reimbursement experience. + Comprehensive project management abilities. + ... Services and other business units. 2. Independently evaluate and analyze contract proposals including completing initial proposal responses and reviewing/revising … more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- …areas and products, assuring financial integrity of the Plan is maintained and contract management requirements are adhered to, including language, terms and ... ** Provider Network Account Executive I** Location: Palm Beach...Location: Palm Beach Gardens, FL Primary Job Function: Medical Management ID**: 29645 **Job Brief** Excellent opportunity in the… more
- AmeriHealth Caritas (Washington, DC)
- …areas and products, assuring financial integrity of the Plan ismaintainedand contract management requirements are adhered to, including language,termsand ... Executive II** Location: Washington, DC Primary Job Function: Medical Management ID**: 34148 **Job Brief** The Provider ...in: knowledge of Plan policies and procedures related to provider contracting, provider credentialing , … more