- Hackensack Meridian Health (Neptune, NJ)
- …our mission to transform healthcare and serve as a leader of positive change. As Delegated Credentialing Manager , you are responsible for overseeing all ... for Quality Assurance (NCQA), contractual agreements, and State and Federal requirements. The Delegated Credentialing Manager position will function in a… more
- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The Delegated Credentialing Coordinator is responsible for coordinating and performing all ... pre-delegation and annual due diligence audits and monitoring of practitioner and delegated credentialing activities to ensure compliance with National Committee… more
- University of Virginia (Charlottesville, VA)
- …processes and procedures that support the provider onboarding, credentialing , re- credentialing , expirables data management, delegated credentialing and ... and review of CVO Operating policies and procedures, Managed Care Delegated Credentialing policies and procedures; develops, recommends, and/or implements… more
- HSS (New York, NY)
- …Institute Full-Time Overview: The Credentialing Coordinator, under supervision of Credentialing Manager plays a key role with development, planning and ... Committee members, Medical Staff Leadership + Assists in preparing files for payor delegated credentialing audits to ensure compliance. + Perform other related… more
- Billings Clinic (Billings, MT)
- …as a Credentialing Verification Organization Network and other delegated credentialing contracts * Joint Commission Accreditation Hospital Organizations ... Starting Wage DOE: $18.25 - 21.44 Coordinates and conducts thorough credentialing which ensures that every physician and medical associate/assistant,… more
- Dignity Health (Phoenix, AZ)
- …This includes functions required by Delegated Agreement with Health Plans, Delegated Credentialing And Delegated Audits. Applies NCQA Standards to ... experience (quality, risk management, medical records, physician relations, physician practice management). + Experience with credentialing , privileging, and… more
- Guthrie (Sayre, PA)
- …4. Completes monthly and quarterly reports, rosters and/or updates as required for Delegated Credentialing Payers 5. Utilizes ECHO database and EPIC system to ... Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the success and financial… more
- Vighter Medical Group (San Antonio, TX)
- …oversees MQM initiatives and reviews, working in close collaboration with the local physician and Patient Safety Risk Manager , as applicable. + Performs record ... chart reviews, identifying trends, performance concerns, best practices. Some items may be delegated if a local physician is assigned at a specific facility,… more
- Catholic Health (Kenmore, NY)
- …Studies (as applicable) and worksheet in Syngo Dynamics for the interpreting physician . The Credentialed Cardiac Sonographer will act as a resource person. ... include, but are not limited to, and may be delegated to other staff: + All laboratory duties ...by the Medical Director, Technical Director, and Non-Invasive Department manager . + Daily technical operation of the laboratory, ie… more
- The Cigna Group (Anaheim, CA)
- …Commercial and Medicare product lines (eg, Hospital systems, Ancillaries, and large physician groups) for one or more geographies. + Proactively builds relationships ... partners including but not limited to, Claims Operations, Medical Management. Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing and Service. +… more