of providers Job Description Reporting to the Director, Credentialing & Enrollment, the Manager, Credentialing is responsible... to accomplish credentialing and various elements of implementation and launch Maintain up-to-date data for each provider...
of all. Job Description: Location: Must reside in Oklahoma The opportunity : The Manager, Provider Enrollment & Credentialing is responsible... for managing and monitoring staff and systems that guide the accurate and timely tracking and monitoring of provider-related...
of all. Job Description: Location: Must reside in Oklahoma The opportunity : The Manager, Provider Enrollment & Credentialing is responsible... for managing and monitoring staff and systems that guide the accurate and timely tracking and monitoring of provider-related...
, and certifications upon signing of a new provider. Operational ownership of the centralized credentialing process includes interfacing... basis. Implement and maintain credentialing software. 12 Processes day-to-day WVUHS Insurance Provider Enrollment requests...
Reports to the Manager, Provider Enrollment & Credentialing. Responsible for the timely completion of initial and re... for provider and facility credentialing. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health...
and audits of credentialing entities (e.g., CMOs, delegates and health plans for NCQA); independently facilitating efficient...) to the credentialing committee taken against a practitioner/provider in accordance with applicable law and contractual...
Summary: We have an exciting opportunity to join our team as a Manager, Credentialing - Medical Staff Services... Training for all credentialing staff members on an annual basis to ensure compliance with NCQA standards for delegated...
with Recruiting, Production, and Education This role will report to our Manager of Credentialing. Review and screen initial... and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local, and NCQA regulations...
and NCQA for delegated credentialing standards. Responsibilities and Essential Job Functions Coordinates gathering... processes to adhere to regulatory requirements relating to credentialing and privileging. Works in collaboration with provider...
provider customers during initial credentialing, privilege delineation (as applicable), reappointment activities, malpractice...Job Category: Clinical_Support Job Description: The Credentialing Specialist is responsible for credentialing...
, apply today! Overview: The Senior Manager, Credentialing serves as a key operational leader responsible for driving excellence... credentialing operations.The Senior Manager supports the Director, Credentialing in executing organizational strategy, managing...
Onboarding Specialist reports to the Credentialing and Enrollment Manager and will be a key member of the Revenue Support Team... Boards, etc.) Ability to accurately build provider records and to enter relevant information into the credentialing database...
with Credentialing Manager and Coordinator to promote data integrity and to optimize effectiveness of the Credentialing database... Certification - Certified Provider Credentialing Specialist (CPCS) - Accredited University or accredited training professionals...
credentialing program that implements federal, state and local regulatory and NCQA accreditation requirements. Ensures... years of managed care or credentialing experience. Experience with CAQH, Texas Association of Health Plans (TAHP), NCQA...
and offers Medicare Prescription Drug Plans in 42 states plus DC. Why This Role Matters: The Manager, Provider Network Management... and organizational standards. The manager will lead a team focused on building strong provider relationships, monitoring performance...
Role Overview: Reporting to the Manager of Provider Enrollment Services, the Supervisor of Provider Enrollment... of associates who are responsible for the Provider Enrollment Process. This includes, but is not limited to, credentialing...
experience Certified Professional Medical Services Management (CPMSM) and/ or Certified Provider Credentialing Specialist (CPCS... processes. Thorough understanding of TJC, CMS, NCQA, and state regulatory requirements. Proficient in credentialing software...
experience Certified Professional Medical Services Management (CPMSM) and/ or Certified Provider Credentialing Specialist (CPCS... processes. Thorough understanding of TJC, CMS, NCQA, and state regulatory requirements. Proficient in credentialing software...
, etc.) strongly preferred. MBA or advanced degree preferred. Specialized Skills: Deep understanding of Provider Credentialing... but saving them. Together. The Technical Product Manager role for Clinical solutions merges product management, healthcare...
. The Medical Staff Service Credentials Manager oversees the timely credentialing, re-credentialing, and clinical privileges..., and evaluation of the credentialing team. The Manager also frequently assesses departmental productivity and develops business...