- Fresenius Medical Center (Chandler, AZ)
- PURPOSE AND SCOPE: FMCNA locations. Collaborates with a third party/external credentialing agent to ensure credentialing process is completed as required. ... Ensures all provider credentialing verification is performed in accordance with regulatory and accreditation standards as well as internal FMCNA policy and… more
- Molina Healthcare (Mesa, AZ)
- … regulations. Required License, Certification, Association: Preferred Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS ... **JOB DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider...position is responsible for working in partnership with the Credentialing Supervisor or Manager, serving as a team lead… more
- Molina Healthcare (Mesa, AZ)
- **JOB DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all ... safety for members. This position is responsible for the initial credentialing , recredentialing and ongoing monitoring of sanctions and exclusions process for… more
- Molina Healthcare (Mesa, AZ)
- …of care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and any other federal and state required ... requirements for all quality management functions, including quality monitoring audits, credentialing and recredentialing, quality of care concerns, and peer review.… more
- Banner Health (Gilbert, AZ)
- …other healthcare providers and provide information for departmental improvement activities, credentialing , and reappointment. 8. In some roles, this position may ... supervise professional staff. 9. Responsibilities cross all levels of internal customers including the department, facility and system, and external customers including but not limited to the medical staff, the community, regulatory bodies and state agencies.… more
- Molina Healthcare (Mesa, AZ)
- …it pertains to contracting (benefit and provider), network management, credentialing , prior authorizations, fee schedules, and other business requirements critical ... to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit process. Provide clear and concise results and comments to leaders about focal audits. Contributes to completion of audits as… more
- Medtronic (Tempe, AZ)
- …function of the job and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support. This employer participates in ... the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here (https://www.e-verify.gov/employees) . For updates on job applications, please… more
- Sonora Quest (Mesa, AZ)
- …agencies. Assists the Supervisor, Administrative and Technical Directors, and Technical Specialist , in the implementation of new QC/QA polices and continuous quality ... from IERF (International Education Research Foundation) or other nationally recognized credentialing agency for review to determine eligibility. + For certain… more
- Banner Health (Gilbert, AZ)
- …has enabled us to achieve Magnet (TM) recognition by the American Nurses Credentialing Center. Located near Phoenix in Gilbert, Ariz., Banner Gateway Medical Center ... monitoring techniques to patients. This position is a resource person and specialist who may provide assistance to physicians and other healthcare professionals in… more
- Banner Health (Gilbert, AZ)
- …Health the best place to work and receive care. As a **RN Clinical Research Specialist in Outpatient Infusion** , you will play a vital role in delivering direct ... has enabled us to achieve Magnet (TM) recognition by the American Nurses Credentialing Center. Located near Phoenix in Gilbert, Ariz., Banner Gateway Medical Center… more