- Eisai, Inc (Pittsburgh, PA)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic… more
- Eisai, Inc (El Paso, TX)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... cognitive impairment due to Alzheimer's disease (AD) or mild AD. The Neurology Account Specialist (NAS) will be part of a diverse team of sales professionals who… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Managed Care Credentialing Specialist position is responsible for the timely and accurate completion and submission of ... commercial managed care plans and medicare and medicaid. The Managed Care Credentialing Specialist position has consistent interaction with the… more
- Robert Half Office Team (Palm Springs, CA)
- …of Managed Care Requirements: Maintain up-to-date understanding of managed care policies, contracts, and credentialing requirements specific to ... Regularly audit credentialing documentation to ensure accuracy and meet managed care specifications. Communication and Collaboration: Serve as the liaison… more
- Robert Half Office Team (Palm Springs, CA)
- …initial credentialing and recredentialing processes for healthcare providers in managed care networks. * Verify licenses, certifications, education, and work ... Description We are looking for a meticulous Credentialing Specialist to join our team...state and national regulations. * Maintain up-to-date knowledge of managed care policies and credentialing … more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 ... for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …am to 5 pm **Work Location:** El Paso **Preferred Qualifications:** + Three years of Credentialing experience in a managed care plan, medical staff services ... **42129BR** **Extended Job Title:** Medical Staff Credentialing Specialist **Org Level 1:** Texas...education and experience is required + Three years of Credentialing experience in a managed care… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …for children, adolescents and adults whose needs are extra ordinary. As a Contracts / Managed Care Specialist , you will: + Distribute monthly rosters to ... Care can substitute for education **_required_** **Experience:** + Experience in managed care , credentialing , or healthcare administration preferred. +… more
- Lawrence General Hospital (Lawrence, MA)
- …requires two years' recent experience in a hospital or managed care -related position with knowledge of Medical Staff credentialing , working knowledge of ... As the Credentialing Specialist , you will be responsible for assisting in the planning, implementation and operations of the medical staff credentialing … more
- Trinity Health (Syracuse, NY)
- …Participates in education conferences and in-services. Certified Provider Credentialing Specialist (CPCS) Certification preferred.Participates in orientation ... professional agency staff.SUPERVISED BY:Director, Manager, or CoordinatorSUPERVISES:NoneCAREER PATH:Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical… more
- Publix (Lakeland, FL)
- **34227BR** **Position Title:** Managed Care Contract Support Specialist **Department:** Pharmacy **Location:** Lakeland, FL **Description:** If you want to ... role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist ...procedures for recurring business needs + Assist with Pharmacy credentialing and attestations + Ensure accurate and timely payment… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …required. Qualifications: + Minimum of two (2) years previous experience in a managed care organization's Credentialing department. + NAMSS CPCS ... are received and processed, correct data entry, and updated regulatory and credentialing documents are entered and/or scanned into the Doctors HealthCare Plans, Inc,… more
- Elevance Health (Lake Mary, FL)
- …and re- credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies and protocols, standards, and requirements. + ... Develops and fosters collaborative relationships with managed care plans, state agencies and PBM's...Skills, Capabilities and Experiences:** + Strongly preferred certified Provider Credentialing Specialist and college course work. Please… more
- Henry Ford Health System (Troy, MI)
- … or related field or four (4) years of related experience in healthcare industry, managed care experience in lieu of degree. + Bachelor's degree in business, ... + Minimum of two (2) years of experience in managed care experience. + Minimum of two...desirable. CERTIFICATIONS/LICENSURES REQUIRED: + Certification as CPCS (Certified Provider Credentialing Specialist ) or CMSC (Certified Medical Staff… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Medical Staff Services Health Care Specialist is responsible for coordinating the Mount Sinai School of Medicine Faculty Practice ... and enrollment process in accordance with the Health Care Plans Delegated Credentialing Agreements and the...CEO of the Faculty Practice b. Manages interaction with Managed Care Plans - Enrollment, Data Exchange,… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Eastern Connecticut Health Network (Manchester, CT)
- …State licensure inspection surveys. + Responds to inquiries from other health care institutions, managed care organizations and internal departments ... the activities of the Medical Staff Office including the onboarding and re- credentialing process for practitioners. Coordinates the activities of the Organization's … more
- Organon & Co. (Plymouth Meeting, PA)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- Northwell Health (New York, NY)
- …inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing , managed ... re- credentialing requests and coordinates site visits related to managed care contracts. + Prepares and reviews physician membership applications; verifies … more
