- AdventHealth (Altamonte Springs, FL)
- …day-to-day credentialing and privileging issues as they arise. + Assists with managed care delegated credentialing audits; conducts internal file audits. ... Professional Medical Staff Management (CPMSM) Preferred Or Certified Provider Credentialing Specialist (CPCS) Preferred Additional Licenses and Certifications… more
- BayCare Health System (FL)
- …currently reside in Florida. Responsibilities + Responsible for initiating and maintaining credentialing , managed care provider enrollment and hospital ... Preferred associate or bachelor's degree preferred. Experience + Required - 1 year Credentialing or 1-year Managed Care Equal Opportunity Employer… more
- HCA Healthcare (Brooksville, FL)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Provider Enrollment Credentialing Specialist with Parallon you can be a part of an ... succeed in our organization. We are looking for an enthusiastic Provider Enrollment Credentialing Specialist to help us reach our goals. Unlock your potential!… more
- Highmark Health (Tallahassee, FL)
- …Committee and Allied Health Professional Subcommittee agendas in order to comply with Managed Care requirements. (5%) + Performs other duties as assigned or ... and privileging, medical education, hospital environment, health insurance or managed care + 1 year in customer...+ 1 year in customer service + Certified Provider Credentialing Specialist (CPCS) **OR** Certified Professional Medical… more
- BayCare Health System (Tampa, FL)
- …the onboarding process and to resolve issues in onboarding and managed care enrollment. + Assists the Credentialing Manager with NCQA Accreditation renewals. ... years - Credentialing or 3 years - Managed Care + Preferred Certification includes Certified... Care + Preferred Certification includes Certified Provider Credentialing Specialist (CPCS) or Certified Provider Medical… more
- Organon & Co. (Orlando, FL)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- Sedgwick (Tallahassee, FL)
- …Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and Managed Care Organization's covered employees are provided information on eligibility, ... three (3) years of customer service and one (1) year of analytical experience. Managed Care experience preferred. **Skills & Knowledge** + Thorough knowledge of… more
- Highmark Health (Tallahassee, FL)
- …+ 3 years of experience required in health care / managed care + 3 years of experience in credentialing /re- credentialing of practitioners/providers ... **Substitutions** + None **Preferred** + Bachelor's degree. + Certified Provider Credentialing Specialist (CPCS) certification **Skills** + None **SCOPE OF… more