- 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
- CVS Health (Houston, 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
- University of Rochester (Rochester, NY)
- …payer reimbursement methodologies, rules, regulations, and contract terms. Reports to the Director , Payer Contracting & Reimbursement. **Key Functions and ... of proposed terms and rates and make recommendations to Director , Payer Contracting & Reimbursement....Office of Counsel, and Medical Staff Office managers regarding credentialing and payer provider file issues. Provide… more
- 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
- HCA Healthcare (Sarasota, FL)
- …+ 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
- Mom's Meals (Ankeny, IA)
- …retrieval for audits; support internal customers with gathering documentation for credentialing , provider enrollment, contracting , and other requests + Identify, ... Position SummaryThe Compliance Specialist II is responsible for supporting the Director of Compliance/Privacy Officer in implementing and executing the compliance… more
- Organon & Co. (Augusta, ME)
- **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
- 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