- Integra Partners (Troy, MI)
- …and compliant with NCQA CR standards. Quality, Compliance, Audits & Accreditation + Provide clinical leadership for NCQA UM and Credentialing standards, ensuring ... Strategic and Operational Leadership + Collaborate with the SVP of Operations, UM Director , Credentialing leadership, and other internal teams to drive clinical… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …confidentiality of all business/work and medical staff information + Assists the Credentialing Services Managing Director and Manager in ensuring compliance with ... **42850BR** **Extended Job Title:** Medical Staff Credentialing Specialist **Org Level 1:** Texas Tech Unv...and privileging processes for all medical staff members who provide patient care, treatment, and service at TTUHSC El… more
- Tufts Medicine (Boston, MA)
- …board, preferably the American College of Histocompatibility and Immunogenetics (ACHI). + Credentialing by the Portfolio Committee/ Director Training Review and ... of Tufts Medical Center, Tufts Medicine, is seeking a full-time Associate Medical Director of the HLA Laboratory. The HLA Laboratory is an ASHI- and CAP-accredited… more
- East Boston Neighborhood Health Center (Revere, MA)
- …calls and other inquiries regarding Medical Staff Office information, referring to the Credentialing Manager and/or Director any issues beyond the scope of this ... Locations: 300 Ocean Avenue - Revere Position Summary: The Provider Enrollment Specialist is responsible for supporting the ...the Medical Staff Office under the direction of the Credentialing Manager. This position will lead the coordination of… more
- Catholic Health Initiatives (Chattanooga, TN)
- …The MCMO partners with the Chief(s) of Staff and the market Medical Staff Office director to lead credentialing , privileging, and peer review. + The MCMO sets ... physician performance, quality and clinical integration. Specifically responsible to provide the clinical, operational, strategic, and cultural leadership necessary… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of ... teams to advance provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of… 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...report to their supervisor adverse actions taken against a practitioner/ provider in accordance with applicable law and contractual requirements.… more
- WellSpan Health (York, PA)
- …claims or credentialing experience. Preferred **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred **Knowledge, Skills, and ... Meetings. **Duties and Responsibilities** **Essential Functions:** + Processes initial provider enrollment with payers, initial credentialing and… more
- PruittHealth (Norcross, GA)
- …* Review and process incoming and outgoing paperwork, including directory updates, provider credentialing applications, demographic changes of services and other ... **POSITION SUMMARY:** Responsible for submitting all credentialing and re- credentialing applications and attachments for all services and facilities within… more
- Veterans Affairs, Veterans Health Administration (Saginaw, MI)
- Summary The Medical Staff Office is responsible for the Credentialing and Privileging (C&P) process of VAMC clinical services providers, including full-time, ... not limited to: Program Analysis and Support - 25% Assists the Credentialing and Privileging (C&P) Manager/Analyst in developing short- and long-term goals necessary… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics._ **Position** Advanced Practice Provider & Director of System Employee Corporate Health Services ... Service **Work Type:** Full Time (Total FTE between 0.9 and 1.0) ** Director of System Employee Corporate Health Services (ECHS)** **Rush University Medical Center**… more
- The Cigna Group (Independence, OH)
- …LOCATION: Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the ...including but not limited to, Claims Operations, Medical Management. Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing and… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: St. Louis, MO** The ** Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and reports to the ... to contracting strategy in the market. + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the… more
- Auburn University (Auburn, AL)
- …+ Provide academic leadership and oversight for anCDM ,CFPP credentialing program, including but not limited to program oversight and administration, instruction ... Title** Lecturer - Foodservice Management and Certified Dietary Manager Credentialing Program **Posting Number** P2223F Position Summary Information **Job… more
- Sam Houston State University (Huntsville, TX)
- …work closely with the Associate Dean for Clinic Operations and the Clinic Director to obtain credentialing and empanelment with insurance companies and complete ... and Clinical Medicine but will work closely with the Director of Medical Student Affairs and the Associate Dean...have a terminal degree and license in Texas to provide therapy or counseling and who is eligible to… more
- Molina Healthcare (WI)
- …Description** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they… more
- Atlantic Health System (Morristown, NJ)
- … provider accountability, and operational excellence. Position Summary: + Provide system-level strategic leadership for all credentialing and privileging ... The Executive Director of Medical Staff Services provides strategic leadership...Professional in Medical Services Management) required. + CPCS (Certified Provider Credentialing Specialist) preferred. Key Competencies: +… more
- HCA Healthcare (Manchester, NH)
- …**CERTIFICATION** Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) within time period ... and integrity. We care like family! Jump-start your career as a Director Medical Staff Services today with Catholic Medical Center. **Benefits** Catholic Medical… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …Medical Director , is responsible for oversight and management of credentialing and coordination of the Organized Medical Staff. + Ensures that information ... and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Director of Health Information Management PAY RANGE: $104,000-$123,000 annually REPORTS… more
- Mount Sinai Health System (New York, NY)
- …enterprise solution is preferred. **Minimum Certification Requirements** + NAMSS Certified Provider Credentialing Specialist (CPCS), Required + NAMSS Certified ... **Job Description** ** Director Medical Affairs Operations-Medical Staff Services -Full-Time -Days...Conduct and System Medical Staff Policies and Procedures; + Provide education, training, consultative advice and leadership to department… more