- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... + **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims, Credentialing , Clinical Care Management, Member Services, Provider Services,… more
- Stony Brook University (Stony Brook, NY)
- …acuity and nurse level of practice. + Works in concert with Clinical Nurse Specialist and clinical team members to enforce unit specific quality and patient safety ... compliance with the Division's policies on certification and annual recertification/ credentialing . **Qualifications** **Required:** + Current NYS RN License. +… more
- BayCare Health System (FL)
- …5:00 PM (may vary) + **Days:** Monday - Friday The Credentialing and Provider Enrollment Specialist Senior will work in a remote role. Responsibilities: ... we serve. Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist Sr **Location** US:Florida |… more
- US Tech Solutions (Boston, MA)
- …5 Months** **Location: 100% Remote** **Job Description:** + The Credentialing and Provider Enrollment Specialist supports key areas business, quality and ... **Responsibilities:** + Deliver credentialing , privileging, and payer enrollment services for clinical providers. + Provide ...and provider enrollment . + Certified Provider Credentialing Specialist (CPCS) preferred.… more
- BayCare Health System (FL)
- …5:00 PM (may vary) + **Days:** Monday through Friday The Credentialing and Provider Enrollment Specialist is a full-time remote position. This team ... Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** US:Florida | Business… more
- Henry Ford Health System (Jackson, MI)
- …required. Associate's Degree, preferred. One (1) year of credentialing , provider enrollment , or background/verification specialist experience required. ... Credentialing Specialist - Medical Staff Affairs...mission-driven organization focused on excellence in patient care and provider support. Work in a collaborative environment with opportunities… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Medical Staff Office All Locations: 300 Ocean Avenue - Revere Position Summary: The Provider Enrollment Specialist is responsible for supporting the ... at the time of provider departure. The Provider Enrollment Specialist verifies that...valid, reliable data as indicated. + Works closely with Credentialing Manager to coordinate the submission of enrollment… more
- Aspen Dental (East Syracuse, NY)
- …we are very pleased to offer a new opportunity to join our dedicated team as a Provider Enrollment Specialist . The Provider Enrollment Specialist ... This position is responsible for managing and maintaining the enrollment and credentialing for Aspen Dental providers...provider changes. + Maintain accurate records of all enrollment activities in the credentialing system. +… more
- UCLA Health (Los Angeles, CA)
- …years of education, training and experience; Master's degree preferred + Certified Provider Credentialing Specialist (CPCS) and Certified Professional ... As a Principal Credentialing Specialist , you'll oversee credentialing , privileging, onboarding, and enrollment activities for physicians and allied… more
- Catholic Health (Buffalo, NY)
- …Hours: Standard work schedule: 8:00 am - 4:30 pm M - F Summary: The Credentialing Specialist is responsible for assisting with the process of electronic ... This requires electronic collection, processing and organizing significant amounts of enrollment data. Oversee the credentialing process in its entirety… more
- Robert Half Office Team (Kansas City, MO)
- …meetings as required. + Coordinate with the HR Talent Acquisition team on new hire credentialing and provider enrollment . + Ensure team members follow best ... Description We are looking for a meticulous and detail-oriented Credentialing Specialist to join a client in...Proven experience in credentialing , with knowledge of credentialing processes and standards. * Familiarity with provider… more
- Community Health Systems (Las Cruces, NM)
- As a Credentialing Specialist at Mountainview Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care ... reimbursement, and student loan assistance for eligible roles. **Job Summary** The Credentialing Specialist , under the direction of the Operational Support… more
- TEKsystems (Mountain View, CA)
- …healthcare administration or related field preferred. 1-2 years of experience in provider enrollment , credentialing , or healthcare administration. Strong ... status and requirements. Assist with audits and reporting related to provider enrollment activities. Additional Skills & Qualifications High school diploma… more
- Beth Israel Lahey Health (Westwood, MA)
- …making a difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing ... . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and... provider practices and health plan contacts regarding provider enrollment statuses. Investigates and resolves … more
- Amazon (Seattle, WA)
- …develop and execute foundational submission, reporting, risk analysis, and management for provider credentialing . This position will be heavily involved in ... This individual will build and scale operational processes for pharmacy credentialing and launches while ensuring alignment with 3P risks and regulatory… more
- LifePoint Health (Las Cruces, NM)
- *Job Title:*Payor Enrollment Specialist *Job Type:*Full-time *Your experience matters* At Memorial Medical Center, we are committed to empowering and supporting ... * Bachelor's degree preferred. * At least five (5) years of experience with Provider credentialing . * Certification or completion courses must meet the standards… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Credentialing Specialist , Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... , Hospital and Physician credentialing . With limited supervision, the Credentialing Specialist acts as a liaison among outside vendors, Physician… more
- Community Health Systems (Naples, FL)
- …licensure requirements established by State and Federal regulation. Ensure that each provider remains in compliance with health plan enrollment by coordinating ... Initiates, maintains, and manages the credentialing process with insurance payers. Establishes relationships with...healthcare providers and staff to ensure timely completion of enrollment to ensure the financial stability of employed physician/… more
- Nuvance Health (Danbury, CT)
- …in lieu of Associates Degree. Desired but not required: NAMSS Certified Provider Credentialing Specialist (CPCS) Certification Minimum Experience: three ... well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for… more
- University of Michigan (Ann Arbor, MI)
- …to resolve locally or determine if the issue should be escalated. The credentialing specialist autonomously conducts the final analysis thoroughly before deeming ... and procedures, rules, regulations, and accreditation requirements. Through delegated credentialing contracts, the credentialing specialist completes… more
