• Credentialing Program Manager

    OhioHealth (Marion, OH)
    …- in our careers and in our communities. **Job Description Summary:** The Credentialing Program Manager reports to the Medical Affairs Manager and/or Director. The ... of the position is to direct, monitor and provide quality credentialing /privileging and re- credentialing /privileging processes to ensure that physicians and… more
    OhioHealth (10/07/25)
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  • Credentialing Representative

    Highmark Health (Columbus, OH)
    …data base and communicates with providers by phone and mail regarding credentialing status and information. Performs credentialing , re- credentialing and ... "group practices" as opposed to individual providers. Depending on level, trains credentialing personnel in the use of various systems, software, databases and… more
    Highmark Health (09/06/25)
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  • Revenue Cycle Credentialing Manager

    National Youth Advocate Program (Columbus, OH)
    **We are seeking a full-time Revenue Cycle Credentialing Manager to join our NYAP team. This is a hybrid position.** **Salary: Starts at $65,000/yr. based on degree ... and experience.** **Position Summary** The Credentialing /Contracting manager is responsible for overseeing all aspects of the credentialing , revalidation and… more
    National Youth Advocate Program (09/28/25)
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  • Associate Specialist, Corporate…

    Molina Healthcare (OH)
    **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
    Molina Healthcare (10/09/25)
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  • Credentialing Coordinator, Medical Staff…

    UC Health (Cincinnati, OH)
    Performs credentialing duties and collaborates with physician offices, hospital medical staff committees, and the Health Alliance Central Verification Office to ... documentation for the medical staff and allied health professionals in the credentialing process. Responds to requests for verification and information from internal… more
    UC Health (09/27/25)
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  • Program Manager ( Credentialing )

    Molina Healthcare (Dayton, OH)
    …sanctions and exclusion monitoring of provider network and integration of credentialing operations for new markets and acquisitions, involving department or ... 5-7 years of Program and/or Project management experience. * Managed Care credentialing experience. * Experience working in a cross functional highly matrixed… more
    Molina Healthcare (08/27/25)
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  • Manager, Medical Staff Services

    OhioHealth (Mansfield, OH)
    …and activities of the Medical Staff (including bylaws maintenance and credentialing ), and manages and maintains the physician database. This position also ... programs, operations, and activities of Medical Staff. Maintains bylaws, supervises credentialing process, and keeps custody of Medical Staff checkbook. Bylaws… more
    OhioHealth (10/07/25)
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  • Certified Nurse Practitioner, Physician Assistant…

    Cleveland Clinic (Cleveland, OH)
    …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board. + Performs and interprets, at least to the point of… more
    Cleveland Clinic (10/08/25)
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  • Nurse Practitioner (Acute Care), Physician…

    Cleveland Clinic (Cleveland, OH)
    …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board. + Performs and interprets, at least to the point of… more
    Cleveland Clinic (10/02/25)
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  • Credential Delegation Analyst

    Highmark Health (Columbus, OH)
    …50-mile radius** **of Pittsburgh PA This job coordinates and maintains delegated credentialing program in accordance with GHP, NCQA, and all regulatory agency ... Programs. + Facilitate problem resolution when needed. + Provide daily oversight of credentialing delegates to ensure that the delegated entities meet all NCQA, DPW,… more
    Highmark Health (09/30/25)
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