• Option Care Health (Bannockburn, IL)
    …Summary:Oversees the management of all network, payer credentialing and re- credentialing under the direction of the Senior Director , Contracting . ... liaison between the corporate, branch and field personnel for all network, and payer credentialing matters. Collaborates with internal parties to ensure clear,… more
    JobGet (03/12/24)
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  • Manager, Credentialing - Hybrid

    Option Care Health (Bannockburn, IL)
    …Oversees the management of all network, payer credentialing and re- credentialing under the direction of the Senior Director , Contracting . Manages ... corporate, branch and field personnel for all network, and payer credentialing matters. Collaborates with internal parties...Payer as needed. + Works closely with the Contracting and Market Access Departments to ensure locations are… more
    Option Care Health (03/13/24)
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  • Market Access Payer Strategy Lead

    Organon & Co. (Plymouth Meeting, PA)
    …in support of go-to-markets for an emerging Business Development portfolio. The Associate Director , Customer Channel Access Payer Strategy will be an emerging ... + Support strategic access optimization across the Women's Health portfolio, inclusive of payer and contracting pull-through. + Support price, discounting, and … more
    Organon & Co. (03/19/24)
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  • Credentialing and Enrollment Specialist

    Granville Health System (Oxford, NC)
    …healthcare experience required.##Working knowledge of third party payer credentialing / re- credentialing , enrollment and contracting preferred.# Possesses ... limited to: Responsible for timely and accurately submission of Third Party Payer Credentialing packets, enrollment applications and contractual requirements per… more
    Granville Health System (02/21/24)
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  • Government Credentialing Manager MS-Remote

    AdventHealth (Maitland, FL)
    …enroll provider with appropriate payers. **SUPPORT - 15%** . Supports Director of Credentialing /Operations, Provider Enrollment/Quality Audit Manager Manager ... team as well as for the payers and the practices. . Supports physician contracting and Multi state and Florida Government credentialing services by auditing and… more
    AdventHealth (03/28/24)
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  • Medicaid Provider Data Compliance Lead…

    CVS Health (Hartford, CT)
    …make health care more personal, convenient and affordable. Position Summary: The Lead Director will be part of the Aetna Network organization and have oversight and ... monitoring of Medicaid network compliance requirements, focused first on Medicaid credentialing and provider data tasks. The role will collaborate cross functionally… more
    CVS Health (03/14/24)
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  • Lead Director , Network Management

    CVS Health (Austin, TX)
    …health care more personal, convenient and affordable. Position Summary The Lead Director will manage the development of contracts and agreements with providers and ... networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, and… more
    CVS Health (03/10/24)
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  • Medical Director - BSWQA

    Baylor Scott & White Health (Dallas, TX)
    **JOB SUMMARY** Dir Medical Director - BSWQA is responsible for planning, overseeing, and directing strategic medical affairs for Baylor Scott and White Health ... infection control, risk management, joint ventures, physician networks, and medical credentialing functions. Works with facility in a matrix environment with diverse… more
    Baylor Scott & White Health (01/17/24)
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  • Massachusetts and Rhode Island Market Medical…

    Commonwealth Care Alliance (Boston, MA)
    …Plan Chief Medical Officer (CMO), the Massachusetts and Rhode Island Market Medical Director is an integral part of a mission-driven clinical and market team. The ... Medical Director 's primary responsibilities are to ensure that the clinical...as appropriate of committees (including but not limited to credentialing committee activities, utilization management reviews, medical policy committee)… more
    Commonwealth Care Alliance (02/29/24)
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  • Women's Health Account Executive - New England

    Organon & Co. (Montpelier, VT)
    **Job Description** **The Position** Under the guidance of the Director , Commercial Operations Women's Health, the Women's Health Account Director (WH-AD) is the ... in collaboration with stakeholders. In addition, the Women's Health Associate Director will collaborate with our Company's Women's Health Regional Managers and… more
    Organon & Co. (01/26/24)
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  • Chief Medical Officer

    HCA Healthcare (San Antonio, TX)
    …+ You will provide medical director services to facility-level physician credentialing , business development, and provider relations in contracting issues + ... to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the collaboration and coordination of all stakeholders in… more
    HCA Healthcare (03/09/24)
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  • Manager, Credits

    University of Rochester (Rochester, NY)
    …as billing and collection operations, including compliance requirements as well as payer credentialing , contracting and reimbursement practices. The Manager ... credit balance trends, and presents findings to the Associate Director of Cash Applications and Director of Revenue Cycle. The Manager is required to have… more
    University of Rochester (01/05/24)
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