- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted ... across the departments multiple processes such as Credentialing and Provider Data Management activity. 2. Participates in ongoing sanctions monitoring… more
- Centene Corporation (Jefferson City, MO)
- …in related field or equivalent experience. 3+ years of combined management and provider data management , credentialing or healthcare operations (ie ... on workplace flexibility. **Position Purpose:** Supervise the daily operations of the credentialing function and provide guidance and performance feedback to… more
- Bassett Healthcare (Cooperstown, NY)
- …quality assurance reviews and support the Quality Improvement Plan + Systems & Data Management + Manage credentialing databases (eg, Verity Stream/Credential ... Credentialing and Enrollment oversees all aspects of provider credentialing , recredentialing, and enrollment processes, ensuring...work queues to ensure timely and accurate follow-up + Provide accurate data on attending and referring… more
- NTT DATA North America (Dallas, TX)
- …equivalent. + 3+ years of experience in a Healthcare processing ( Provider Data Management preferred, Claims, Credentialing , or other Healthcare Payer/ ... Provider experience) Preferred Skills/Experience: + Experience in Provider Data Management , Provider Credentialing , Medical Claims + 3+ years of… more
- Molina Healthcare (IA)
- …delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + Leading change ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new… more
- Molina Healthcare (GA)
- …as liaison for MHI Operations, including: Claims, Configuration Information Management , Provider Data Management , Credentialing , Enrollment, and ... lines of business. * Works with staff and senior management to develop and implement provider and...support accurate claims payment and for development of accurate provider directories. * Oversees Provider Credentialing… more
- Southeast Health (Dothan, AL)
- …initial enrollment and re- credentialing + Accountable for directly entering and updated provider data into the data repository of credentialing ... health related field. + Post-secondary education would include administrative training, management training, provider enrollment and/or credentialing … more
- Geisinger (Danville, PA)
- …urgent enrollment items and escalations. + Ensure timely and accurate submission of provider data to all applicable payers, including Medicare, Medicaid, and ... necessary to successfully perform the job. #LI-REMOTE Position Details Certified Provider Credentialing Specialist (CPCS) - NAMSS preferred. Certified… more
- Mohawk Valley Health System (Utica, NY)
- …maintaining a database of provider information. Core Job Responsibilities + Provider Credentialing - works with insurance provider representatives to ... Data / Credentialing Specialist - Full...Credentialing Specialist (DCS) must have knowledge of the provider credentialing software to independently make changes,… more
- Beth Israel Lahey Health (Woburn, MA)
- …+ Support leadership reporting, project implementation, and strategic planning related to credentialing and provider lifecycle management . + Perform other ... regulatory compliance efforts that support a unified, system-wide approach to provider credentialing and governance. **Job Description:** **Essential Duties &… more
- Highmark Health (Tallahassee, FL)
- …+ High School Diploma or GED + 0-1 years of experience + Experience in Provider Data Management , Customer Services or Claims. + Microsoft office experience ... applications and re-applications including initial mailing, review, and loading. Maintains provider data base and communicates with providers by phone and… more
- US Tech Solutions (Columbia, SC)
- …and in written form) with providers, provider relations, marketing, other credentialing departments, and various management staff relating to any urgent ... information with other provider services areas. Prepares correspondence and credentialing reports as requested by management . + Assembles necessary… more
- Community Health Systems (Franklin, TN)
- …to resolve issues and provide status updates. + Maintains accurate provider data within credentialing databases, ensuring up-to-date records for ... Specialist is responsible for coordinating and processing all aspects of healthcare provider credentialing to ensure compliance with internal policies, hospital… more
- NTT DATA North America (Cumberland, RI)
- …Associates Degree or Bachelor's degree required - NAMSS Certified Professional Credentialing Specialist (CPCS) certification (preferred) **About NTT Data ** NTT ... At NTT DATA , we know that with the right people... Services currently seeks a Medical Staff Office Senior Credentialing Coordinator to join our team working 4 days… more
- Option Care Health (Waukegan, IL)
- …credentialing or contract administration. **Basic Qualifications** + Experience with Provider credentialing application completion or Request for Proposal ... Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of...and/or time spent) + Responsible for the completion and management of credentialing and attestation documents required… more
- University of Rochester (Albany, NY)
- …Professional Medical Services Management upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The University of ... affiliate hospitals. + Develops and maintains the electronic privileging data and criteria within the credentialing software...of improvement and implement changes as needed. Maintains account data to provide accurate reporting on active… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …+ Audit, assess, procure, implement, effectively utilize and maintain practitioner/ provider credentialing processes and information systems (eg, files, ... + GENERAL SUMMARY The Credentialing Specialist I reports to the Director of...as requested. + Compile, evaluate, and present the practitioner-specific data collected for review by one or more decision-making… more
- ASM Research, An Accenture Federal Services Company (Forest Park, GA)
- …or GED; Bachelor's Degree in healthcare or business field preferred + Certified Provider Credentialing Specialist (CPCS) preferred + 2-5 years of experience ... Processes credentialing and re- credentialing applications for the...current references. + Conducts queries through the National Practitioner Data Bank (NPDB), the Defense Practitioner Data … more
- System One (Tulsa, OK)
- … policies and procedures to meet regulatory and accreditation standards. + Support provider data management , audits, and ongoing monitoring activities. + ... Credentialing Supervisor will play a key role in maintaining accurate provider data , supporting credentialing processes, and fostering a collaborative… more
- Houston Methodist (Houston, TX)
- …Medical Services Management (NAMSS) **OR** + CPCS - Certified Provider Credentialing Specialist (NAMSS) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates ... government regulations and organizational standards and requirements. + Performs audit of provider files annually in preparation for re- credentialing of current… more