• Specialist , Corporate Credentialing

    Molina Healthcare (Syracuse, NY)
    …Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression ... **Job Description** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare...Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all… more
    Molina Healthcare (08/31/25)
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  • Associate Specialist , Corporate…

    Molina Healthcare (Albany, NY)
    **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 (08/27/25)
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  • Credentialing Specialist -ONSITE

    WMCHealth (Hawthorne, NY)
    Credentialing Specialist -ONSITE Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28793) Internal Applicant link Job Details: Job Summary: The Credentialing Specialist -Provider Enrollment position acts as… more
    WMCHealth (06/18/25)
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  • Provider Data Management & Credentialing

    Mount Sinai Health System (New York, NY)
    **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted providers. This ... agencies, participation status with payer programs, and other demographic and credentialing and contractual requirements. This individual is responsible for timely… more
    Mount Sinai Health System (07/30/25)
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  • Credentialing and Privileging…

    Highmark Health (Albany, NY)
    …managed care + 1 year in customer service + Certified Provider Credentialing Specialist (CPCS) **OR** Certified Professional Medical Services Management (CPMSM) ... Description :** **GENERAL OVERVIEW:** This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging… more
    Highmark Health (08/27/25)
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  • Supervisor, Credentialing - Remote

    Molina Healthcare (Rochester, NY)
    …and leadership skills. Required License, Certification, Association: Preferred Certified Provider Credentialing Specialist (CPCS) or, participation in a CPCS ... **Job Description** **Job Summary** The purpose of the credentialing program is to ensure the Molina provider network consists of providers that meet regulatory and… more
    Molina Healthcare (08/28/25)
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  • Manager, Credentialing

    University of Rochester (Albany, NY)
    …Certified Professional Medical Services Management upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The University of ... maintaining, and communicating the medical and allied health professional staff credentialing , privileging, and primary source verification process. Serves as a… more
    University of Rochester (08/25/25)
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  • Remote Medical Staff Credentialing

    Mount Sinai Health System (New York, NY)
    …health system and/or a CVO is strongly preferred + **NAMSS Certified Provider Credentialing Specialist (CPCS)-Must be obtained within two (2) years from date ... **Job Description** **Remote Medical Staff Credentialing Coordinator-Initial & Reappointment- Medical Staff Services-Corporate Full-Time Days** The Medical Staff … more
    Mount Sinai Health System (07/30/25)
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  • Specialist , Configuration Oversight…

    Molina Healthcare (Albany, NY)
    …it pertains to contracting (benefit and provider), network management, credentialing , prior authorizations, fee schedules, and other business requirements critical ... combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is generally… more
    Molina Healthcare (08/16/25)
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  • Field Support Specialist I

    Maxim Healthcare (Syracuse, NY)
    Maxim Healthcare Group is currently seeking a Credentialing and Operations Support Associate (aka FSA). The Field Support Associate, in collaboration with the ... Field Support Specialist is responsible for providing the highest level of...*Benefit eligibility is dependent on employment status. About Maxim Healthcare Maxim Healthcare has been making a… more
    Maxim Healthcare (08/23/25)
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