- University of Massachusetts Amherst (Amherst, MA)
- Manager of Contracting & Insurance Credentialing Apply now ... of the region. Job Summary Under general direction of the Financial Manager of University Health Services responsible for contracts, fiscal management, operations… more
- Mindful Support Services (Mountlake Terrace, WA)
- About the Role: The Credentialing Manager is responsible for the day-to-day management of the Credentialing and Compliance department. The Credentialing ... and will support the Compliance Manager with projects and priorities. The Credentialing Manager will handle escalated issues and will monitor and coach the… more
- CVS Health (Hartford, CT)
- …satisfaction, cost targets, network growth, and efficiency targets. Manages provider contracting intake process which includes audit and oversight of audit resources ... of all provider contract/ credentialing materials received from provider, provider outreach which may...received from provider, provider outreach which may include moderate contracting negotiation activities as well as research and analysis… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... evaluation, and continuous improvement of all functions of provider contracting . Manages financial and operational issues related to contractual provider… more
- University of Colorado (Aurora, CO)
- Cancer Screening Research Network (CSRN) Hub Program Manager - 33233 University Staff **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Cancer Center** **Job Title: CSRN Hub Program Manager ** **Position #731414 - Requisition #33233** **Job Summary:** **Examples of Work Performed**… more
- Terumo Medical Corporation (Dallas, TX)
- Region Manager -TIS, North Texas Date: May 2, 2024 Req ID: 3103 Location: Dallas, TX, US Company: Terumo Medical Corporation Department: TIS Sales Management Terumo ... RBT. + Collaborate with Corporate Accounts to drive sales growth through contracting /business reviews within GPO, IDN, government and independent accounts. + Attend… more
- CVS Health (Boston, MA)
- …but are not limited to, database management, and contract coordination. -Performs credentialing support activities as needed. Educates providers as needed to ensure ... materials, and facilitates external provider meetings. -Conduct standard provider recruitment, contracting , or recontracting activities and assist with more complex … more
- Medical Mutual of Ohio (Dublin, OH)
- …health care or a health plan organization, which includes exposure to provider contracting and/or provider payment structures and health insurance claims, or ... health care or a health plan organization, which includes exposure to provider contracting and/or provider payment structures and health insurance claims, or… more
- Robert Half Finance & Accounting (Salinas, CA)
- …Processes, Consular Processing, Continuous Process Improvement, Continuous processes, Contracting Processes, Coprocessors, Cost - Process, Credentialing ... Description As the Operations Manager you will ensure the realization of the...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the ... timely entry of provider data, resolving issues and barriers with payor credentialing teams. Proactive internal and external communication including but not limited… more
- Insight Global (Columbus, OH)
- …adherence to business and system requirements of customers as it pertains to contracting , network management and credentialing . 50% of their day will consist ... to full execution utilizing approved standardized contract templates/amendments. * Assists Manager and/or Director in the negotiation of medical group/IPA and… more
- Healthfirst (New York, NY)
- Under the direction of the Manager of Ancillary Services, the Ancillary Services Contractor develops and maintains an Ancillary provider network that ensures ... provider network + Create contracts in HF contract software and review credentialing documents submitted by Provider/facility via Universal Credentialing Data… more
- The Cigna Group (Anaheim, CA)
- …of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. **DUTIES AND ... RESPONSIBILITIES** + Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports. + Manages increasingly complex… more
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …with the Veteran's Health Information Systems and Technology Architecture (VistA) Imaging manager for the purpose of validation of new procedures and/or equipment ... technological requirements to the VISN PACS Committee. Serves as the primary Contracting Officer Training Representative (COTR) Point of Contact (POC) for PACS… more
- ERP International (San Antonio, TX)
- …professional with knowledge of and experience in recruiting, screening, credentialing and onboarding a variety of Healthcare Professionals (Physician, Nursing ... and Ancillary) and Medical Administrative staff within Government Contracting . This position will report to the Clinical Recruiting.... This position will report to the Clinical Recruiting Manager and work closely with the Director of Clinical… more
- TEKsystems (Tampa, FL)
- …and changes. * Seek assistance from internal partners (eg, Coding; Credentialing ; Clinics; Contracting ) and/or external stakeholders (eg, individual ... protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. * Ability...claim formatting issues to the IT department and Billing Manager . * Serves as a resource to Optum Care… more