- ASM Research, An Accenture Federal Services Company (Santa Fe, NM)
- …Bachelor's Degree in healthcare or business field preferred + Certified Provider Credentialing Specialist (CPCS) preferred + 2-5 years of experience performing ... Processes credentialing and re- credentialing applications for the client. Reviews applications and prepares verification letters. Contacts various departments,… more
- CVS Health (Santa Fe, NM)
- …data integrity issues in a timely manner. **What you will do** The Credentialing Specialist is responsible for managing and maintaining the credentialing ... all credentialing activities are completed timely and accurately. The specialist maintains Credentialing systems and collaborates closely with Provider Data… more
- Highmark Health (Santa Fe, NM)
- …managed care + 1 year in customer service + Certified Provider Credentialing Specialist (CPCS) **OR** Certified Professional Medical Services Management (CPMSM) ... Description :** **GENERAL OVERVIEW:** This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging… more
- Molina Healthcare (Santa Fe, NM)
- **JOB DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all ... safety for members. This position is responsible for the initial credentialing , recredentialing and ongoing monitoring of sanctions and exclusions process for… more
- Highmark Health (Santa Fe, NM)
- …**Substitutions** + None **Preferred** + Bachelor's degree. + Certified Provider Credentialing Specialist (CPCS) certification **Skills** + None **SCOPE OF ... 50-mile radius** **of Pittsburgh PA This job coordinates and maintains delegated credentialing program in accordance with GHP, NCQA, and all regulatory agency… more
- Fujifilm (Santa Fe, NM)
- …regulations, and standards. + Comply with and pass all requirements for vendor credentialing as part of gaining access to hospitals and facilities to perform ... job duties. **Qualifications:** While this position is listed as a Clinical Specialist , PLEASE NOTE that candidates that do not meet the minimum qualifications… more
- Fujifilm (Santa Fe, NM)
- **Position Overview** The Credit & Collections Specialist is a highly independent role with limited management oversight. The main purpose is to manage all accounts ... belief or other legally required exemption._ _Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be… more
- Fujifilm (Santa Fe, NM)
- **Position Overview** The Clinical Specialist (RDCS Certification Preferred) - Manhattan, NY position is responsible for understanding and addressing the clinical ... + Eight (8) paid holidays per year Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be required to… more
- Cardinal Health (Santa Fe, NM)
- …as deemed necessary. + Adherence to client's facility policies and vendor credentialing requirements. + Applies working knowledge in the application of concepts, ... principles, and technical capabilities to perform varied tasks + Works on projects of moderate scope and complexity + Identifies possbile solutions to a variety of technical problems and takes actions to resolve + Applies judgment within defined parameters +… more
- Molina Healthcare (Santa Fe, NM)
- …it pertains to contracting (benefit and provider), network management, credentialing , prior authorizations, fee schedules, and other business requirements critical ... to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit process. Provide clear and concise results and comments to leaders about focal audits. Contributes to completion of audits as… more
- Fujifilm (Santa Fe, NM)
- …through the closing of business. + Work with the Clinical Sales Specialist in coordinating the pre-demonstration (pre-demo)process required to ensure that a ... regulations and standards. + Comply with and pass all requirements for vendor credentialing as part of gaining access to hospitals and facilities to perform assigned… more
- Fujifilm (Santa Fe, NM)
- …market specifications. Identifies issues and communicates with the Product Support Specialist (PSS) or the Imaging System Project Manager (ISPM) to address ... belief or other legally required exemption._ _Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be… more
- Fujifilm (Santa Fe, NM)
- …+ Partner with sales/sales leadership, national business development managers, clinical specialist team, and field service engineers in the management of field ... belief or other legally required exemption._ _Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be… more