- Insight Global (Philadelphia, PA)
- Job Description A large healthcare insurance company is looking to hire a Quality Management Credentialing Analyst to their Final Optical Check ... Quality Management team. This person will work alongside the credentialing team and Board Committee to develop and update policies, audit and review… more
- Penn Medicine (Philadelphia, PA)
- …3535 Market Street Hours: Remote, M-F, daylight The Payor Enrollment Business Analyst I is accountable for continual monitoring, improvement and maintenance of the ... exports, discrepancies, aging inventory according to the health plan Delegated Credentialing Agreement (DCA). Acts as a Subject Matter Expert (SME)to develop/create… more
- The Cigna Group (Philadelphia, PA)
- …be supported by a collaborative actuarial community and mentors throughout your FSA credentialing - all designed to help you succeed. Over time, you'll build the ... The Cigna Group, your work will contribute to improving access, affordability, and quality of care for** **the** **millions** **of people we serve** **-** **making a… more
- Rowan University (Stratford, NJ)
- …CPT utilization, facility census, panel cancellation, and other metrics to close quality gaps and optimize wRVU production. Monitors the integrity and continuity of ... performance, and create a feedback loop. Directs the implementation of quality improvement programs ensuring progress toward defined goals and measurable outcomes,… more