- MultiPlan (Atlanta, GA)
- …Company's legal rights. JOB ROLES AND RESPONSIBILITIES:1. Work with the Company's management to provide legal counsel and business counsel2. Assume ... and resolves them effectively with some supervision.3. Support Sales and Account Management team in contract negotiations with customers.4. Support Network… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …health data and the information systems used to manage it.Develop care management workflows that utilize provider /patient attribution, risk scoring, clinical ... for and implements systems and system improvements that allow clinicians to provide high quality care, in the most efficient manner possible, utilizing technology.… more
- Marion County (Salem, OR)
- … of Suicidality (CAMS), Collaborative Problem-Solving (CPI), and Motivational Interviewing. Provide case management to include determining individual service ... Community Treatment (ACT) team. In this position, you would provide mental health therapy to individuals diagnosed with serious...within the first 30 days of employment. Salem Hospital Credentialing : Must possess, or obtain within 6 months of… more
- Marion County (Woodburn, OR)
- …services at our Woodburn office. The Mental Health Specialist in this position will provide crisis assessments to individuals in need as well as case management , ... require a motivated individual to learn about the available community services to provide mental health well-being. The individual in this position will possess a… more
- Compass Health Network (Rolla, MO)
- …we serve, we are offering a $4,000 sign-on bonus.* We are eager to continue to provide quality and compassionate care in our service areas and need you to make this ... happen! Provide individual and group counseling to consumers with substance...twelve core functions as set down by the Missouri Credentialing Board: screening, intake, orientation, assessment, education, referral, record… more
- Creative Financial Staffing (Grand Rapids, MI)
- …to hire a Billing Supervisor. Their mission is to promote and provide mental health, intellectual/developmental disability, and substance use disorder resources that ... electronic and paper submission. Responsible to supervise the complete credentialing process for healthcare professionals, including contracted physicians, Nurse… more
- Banner Health (Tucson, AZ)
- …including but not limited to: billing, specialized processes, budgeting, payroll, contract management , credentialing , licensing, accounts payable, and ... flow and operations. Responsibilities may include assisting in the management of an essential department function or process, as...of Medicine in Phoenix and Tucson. Our 800-plus clinicians provide primary and specialty care to patients at highly… more
- Catholic Health Initiatives (Omaha, NE)
- … and re- credentialing process for CHI Health Partners (CHP). 2. Coordinates provider CHP packets and receipt of credentialing files from Med Staff Services. ... to NCQA standards of function and responsibility relates to credentialing for CHP. 5. Works with provider ... new providers by sending the welcome letter and contract . Runs new provider report to send… more
- Providence (Spokane, WA)
- …some initial credentialing and government enrollment functions. Following initial provider credentialing the Provider Concierge also facilitates re- ... **Description** The Provider Transition Coordinator is responsible for collaborating, facilitating,... with both Medical Staff Services and the Delegated Credentialing Committee and maintains group enrollments with federal and… more
- Amergis (Tampa, FL)
- …by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ... experiences to deliver the best workforce solutions. The Onboarding and Credentialing Field Support Specialist provides the highest level of customer service… more
- Amergis (Phoenix, AZ)
- …by connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and school-based professionals, ... creates unmatched staffing experiences to deliver the bestworkforce solutions. The Credentialing Specialist provides the highest level of customer service to… more
- Medical Mutual of Ohio (Rossford, OH)
- …Prioritizes and researches issues affecting providers and maintains contract management files and documentation **Responsibilities** ** Provider Contract ... refers issues regarding credentialing , claims, or other to the appropriate Provider Contract Manager or internal department; performs data entry and logs… more
- The Cigna Group (New York, NY)
- …NY and be able to work 3 days per week in our Manhattan office._** The **Manager, Provider Contract Network Management ** serves as an integral member of the ... matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing… more
- The Cigna Group (Bethlehem, PA)
- …matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing ... analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider… more
- UNC Health Care (Apex, NC)
- …interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high-quality, cost-effective care to patients ... with departmental guidelines and privileging, and schedules appropriate follow-up management . Actively incorporates evidence-based hospital initiatives to improve patient… more
- CareFirst (Baltimore, MD)
- …details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment ... with other internal areas affected by network changes. + Provide ongoing network management support to the...projects and lead projects as needed. + Performs the provider credentialing as assigned and data maintenance… more
- Hartford HealthCare (Bridgeport, CT)
- …of Medicine to manage administrative activities of the Dept of Medicine including credentialing , contract management and assisting with hiring processes. . ... hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St.… more
- The Cigna Group (Los Angeles, CA)
- …matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing ... out to in-person meetings with Providers._** The **AVP, Network Management ** serves as an integral member of the Network...projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. +… more
- AmeriHealth Caritas (Washington, DC)
- …areas and products, assuring financial integrity of the Plan is maintained and contract management requirements are adhered to, including language, terms and ... management of the day to day network management activities for all provider types to...in: knowledge of Plan policies and procedures related to provider contracting, provider credentialing , … more
- The Cigna Group (Bloomfield, CT)
- …matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing ... This role assists in developing the strategic direction and management of the day to day contracting and network...reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +… more
