- Molina Healthcare (Racine, WI)
- …of Program and/or Project management experience. * Managed Care credentialing experience. * Experience working in a cross functional highly matrixed ... sanctions and exclusion monitoring of provider network and integration of credentialing operations for new markets and acquisitions, involving department or… more
- CVS Health (Antioch, IL)
- …contract interpretation * Medicaid Regulatory Standards for Network Access, Credentialing , Claims Processing, Provider Appeals & Disputes and/or Network Performance ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Molina Healthcare (Racine, WI)
- …services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality ... quality of care. * Attends or chairs committees as required such as credentialing , Pharmacy and Therapeutics (P&T) and other committees as directed by the chief… more