- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking a ** Credentialing Specialist ** to support our health plan operations by ensuring timely, accurate credentialing of ... sources in a timely and accurate manner + Track and process credentialing and re- credentialing applications + Enter and update provider information in the … more
- Molina Healthcare (Tucson, 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 (Tucson, 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
- Banner Health (Tucson, AZ)
- …state-of-the-art procedures that exist anywhere in the country. As a **RN Operations Support Specialist (Global)** you will get the opportunity to be a part of a ... Arizona to meet the rigorous standards of the American Nurses Credentialing Center's Magnet Recognition Program(R) for nursing excellence. The hospital's physicians… more
- Banner Health (Tucson, AZ)
- …techniques and a multi-organ transplant program. As an **Acute Care Clinical Pharmacy Specialist ** joining the team, you will become part of an elite group of ... Arizona to meet the rigorous standards of the American Nurses Credentialing Center's Magnet Recognition Program(R) for nursing excellence. The hospital's physicians… more
- Molina Healthcare (Tucson, 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 (Tucson, AZ)
- …Arizona to meet the rigorous standards of the American Nurses Credentialing Center's Magnet Recognition Program(R) for nursing excellence. The hospital's physicians ... other healthcare providers and provide information for departmental improvement activities, credentialing , and reappointment. 8. In some roles, this position may… more
- Molina Healthcare (Tucson, 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
