- Adecco US, Inc. (Knoxville, TN)
- **Adecco Healthcare & Life Sciences** is currently hiring a ** Credentialing Specialist - Managed Care ** in **Knoxville, TN** . This is an **on-site** ... Temp to Hire **Primary Responsibilities** + Process payer enrollment, facility credentialing , hospital credentialing , and re- credentialing applications for… more
- LA Care Health Plan (Los Angeles, CA)
- Credentialing Specialist II Job Category: Provider Relations Department: Provider Data Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Credentialing Specialist II is responsible for managing...At least 1 year of experience in a healthcare/ managed care environment. Skills Required: Ability to… 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 ... **43331BR** **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
- AccentCare, Inc. (Dallas, TX)
- Overview Managed Care Contract Specialist Location: Dallas Corporate Office Position: Managed Care Contract Specialist Position Type: Full-Time ... this role. Find Your Passion and Purpose as a Managed Care Contract Specialist What...+ Maintain monthly MC logs that summarize negotiation and credentialing activity. Maintain MC monthly logs for moves and… more
- Elevance Health (Indianapolis, IN)
- …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
- Trinity Health (Livonia, MI)
- …leadership. Fields telephone calls and monitors shared email inbox regarding managed care products, application requests, credentialing /recredentialing ... MSOW database and ensures mailing addresses, telephone numbers, participation in various managed care organizations, and other key demographics are up to… more
- East Boston Neighborhood Health Center (Revere, MA)
- …care preferred. EXPERIENCE: One to three year's experience working in a Medical Staff Office, Credentialing or Managed Care in a hospital, managed ... of our patients and communities. Whether you're a nurse or physician providing direct care , a manager leading dedicated teams, or part of the essential support staff… more
- HCA Healthcare (Sunrise, FL)
- …to join an organization that invests in you as a Recruitment Operations Specialist WFH? At HealthTrust Workforce Solutions, you come first. HCA Healthcare has ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...difference. We are looking for a dedicated Recruitment Operations Specialist WFH like you to be a part of… more
- HCA Healthcare (Sunrise, FL)
- **Description** **Introduction** Do you have the career opportunities as an Operations Specialist you want with your current employer? We have an exciting ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Molina Healthcare (St. Clair Shores, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated… more
- Generations Family Health Center (Willimantic, CT)
- …oral health or behavioral health setting, and knowledge of insurance plans and managed care plans. Coding certificate or training preferred. Knowledge of medical ... Type Full Time Job Shift Day Education Level High School Category Health Care Description Billing Specialist Full-time, 40 hours/week Generations Family Health… more
- CareFirst (Baltimore, MD)
- …years' experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care ; state or federal health care programs; or health ... claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing , and contracting rules knowledge to help build the effective… more
- BronxCare Health System (Bronx, NY)
- …system and operational changes regarding insurance, eligibility and reporting, ie Managed Care Payers, Medicare. Keeps front-end administrators up-to-date with ... and performance reviews for various clinic locations. - Identifies that provider credentialing information is consistent in each system along the billing continuum… more
- Atlantic Health System (Morristown, NJ)
- …+ Support and evaluate delegated credentialing contracts and relationships with managed care organizations and insurers, if requested. + Lead change ... in Medical Services Management) required. + CPCS (Certified Provider Credentialing Specialist ) preferred. Key Competencies: + Executive...one of our facilities, will receive the highest quality care delivered at the right time, at the right… more
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... + **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims, Credentialing , Clinical Care Management, Member Services, Provider Services,… more
- Prime Healthcare (Gadsden, AL)
- …five years of management experience in one of the following venues: hospitals, managed care , credentialing verification organizations, or ambulatory care ... + 5 years of management experience in one of the following venues: hospitals, managed care , credentialing verification organizations, or ambulatory care .… more
- Intermountain Health (Murray, UT)
- …hospital Medical Staff office. Certification as a Certified Provider Credentialing Specialist (CPCS) **Physical Requirements:** **Physical Requirements** ... for establishing and executing the strategic direction for Intermountain's credentialing , privileging, quality, and overall medical staff services operations within… more
- AbbVie (Savannah, GA)
- …+ Commercial pharmaceutical industry experiences such as physician/account based selling, training, managed health care and marketing. + Ability to set a ... An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain… more
- Prime Healthcare (Garden City, MI)
- …five years of management experience in one of the following venues: hospitals, managed care , credentialing verification organizations, or ambulatory care ... Professional in Medical Services Management (CPMSM), required. 3. Certified Provider Credentialing Specialist (CPCS), or equivalent, preferred. 4. Minimum of… more