- Houston Methodist (Houston, TX)
- At Houston Methodist, the Managed Care Credentialing Specialist position is responsible for the timely and accurate completion and submission of ... commercial managed care plans and medicare and medicaid. The Managed Care Credentialing Specialist position has consistent interaction with the… 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 ... for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …am to 5 pm **Work Location:** El Paso **Preferred Qualifications:** + Three years of Credentialing experience in a managed care plan, medical staff services ... **42129BR** **Extended Job Title:** Medical Staff Credentialing Specialist **Org Level 1:** Texas...education and experience is required + Three years of Credentialing experience in a managed care… more
- Lawrence General Hospital (Lawrence, MA)
- …requires two years' recent experience in a hospital or managed care -related position with knowledge of Medical Staff credentialing , working knowledge of ... As the Credentialing Specialist , you will be responsible for assisting in the planning, implementation and operations of the medical staff credentialing … more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Experience:** 3 years physician credentialing experience or health insurance/ managed care operations ... performing verification and/or appropriate actions. **Licenses/Certifications** : Certified Provider Credentialing Specialist (CPCS) Preferred Salary Range: $38,520… more
- AdventHealth (Altamonte Springs, FL)
- …for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:** ... all existing and new physicians and other billing health care providers in the AHS system are enrolled in...+ Collaborates with other departments, such as provider onboarding, credentialing , and revenue cycle, to gather necessary information and… more
- HCA Healthcare (Denver, CO)
- … credentialing in a healthcare facility (ie, Medical Staff Office), managed care setting, or credentials verification organization. CERTIFICATE/LICENSE - ... join an organization that invests in you as a(an) Credentialing Coordinator? At HealthONE Colorado Care Partner,...Certified Provider Credentialing Specialist or Certified Profession in Medical… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Organon & Co. (Plymouth Meeting, PA)
- …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
- AdventHealth (Maitland, FL)
- …requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting team, ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- Northwell Health (New York, NY)
- …inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing , managed ... re- credentialing requests and coordinates site visits related to managed care contracts. + Prepares and reviews physician membership applications; verifies … more
- Integra Partners (Troy, MI)
- …compliance, regulatory affairs, and/or utilization management within a health plan or managed care environment + Demonstrated expertise in CMS and state ... The Medical Policy & Compliance Specialist is responsible for researching, analyzing, and interpreting...Medicaid, and NCQA regulations relevant to Utilization Management (UM), Credentialing and Claims, with the ability to translated them… more
- Houston Methodist (The Woodlands, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Kelly Services (Lincoln, NE)
- …discrepancy situations. + Extensive knowledge and proficiency of the Managed Care imaging system. + Responsible for the credentialing and re- credentialing ... **Now hiring a Client Relations Specialist for our premier client in Lincoln, NE!**...Meet all functional measurements when processing work from the Managed Care Imaging queues. + Partner with… more
- Tenet Healthcare (Detroit, MI)
- …equivalent education/training strongly preferred. 2. Two years of medical affairs office or credentialing experience in managed care , hospital, or physician ... Credentials Specialist Full Time Days - 2506000537 Description :...Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan… more
- Ochsner Health (Morgan City, LA)
- …physician members and executive leadership team. Coordinates physician quality information and managed care audits and manages documentation and maintenance of ... experience. **Certifications** Required - None. Preferred - Certified Provider Credentialing Specialist and/or Certified Professional Medical Services Management… more
- Access: Supports For Living (Middletown, NY)
- …portals. + Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid, Medicaid Managed Care and other payers' billing regulations for all programs. + ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul...required for revenue management report generation, and assist with credentialing management and regulatory audits. Duties/Responsibilities: + Promote revenue… more
- Molina Healthcare (Dallas, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more