- UCLA Health (Los Angeles, CA)
- …and accuracy. The Credentialing Manager will oversee the MCO credentialing program lifecycle, including provider applications, primary source verifications, ... (CCU), Medical Staff Office (MSO), health plan partners, accreditation agencies, and provider networks, providing subject matter expertise on credentialing and… more
- The County of Los Angeles (Los Angeles, CA)
- …out job-related essential functions. CERTIFICATION: Successful certification as a Certified Provider Credentialing Specialist issued by the National Association ... indicate "No Experience" 03 Do you possess certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical… more
- Banner Health (CA)
- …meet the organization's expectations. PREFERRED QUALIFICATIONS National Certified Provider Credentialing Specialist (NCPCS) certification preferred. Additional ... to employment settings by including remote and hybrid opportunities. As a ** Credentialing Specialist,** you will handle the processing of initial and re-… more
- HCA Healthcare (Riverside, CA)
- …providers, their liaisons, medical staff leadership and Administration, as needed to provide timely responses upon request on day-to-day credentialing and ... care like family! Jump-start your career as a(an) Medical Staff Credentialing Coordinator today with Riverside Community Hospital. **Benefits** Riverside Community… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …audit results; interprets facility quarterly report card data; researches provider credentialing requirements; and identifies potential privileging issues. ... Summary The Supervisory Health System Specialist - Credentialing and Privileging Manager position is located in...quarterly security reports, quarterly accuracy certification of the Our Provider 's website, and accuracy of the VA/DoD shared … more
- Robert Half Office Team (Los Angeles, CA)
- …manage corrective action plans as needed. + Monitor, analyze, and report on credentialing data and audit outcomes. + Provide leadership in developing, ... Description The Credentialing Auditor is responsible for overseeing and auditing...+ Participate in or lead CMS mock audits and provide training to relevant staff. + Lead audit activities… more
- Cedars-Sinai (CA)
- …Staff Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two years ... and qualitative requirements. Participates in effective day-to-day operations of the credentialing functions and provide recommendations to enhance productivity… more
- Cardinal Health (Sacramento, CA)
- …+ Respond to third party/managed care requests in a timely manner + Provide existing customers and third-party vendors with the best possible service and ... recommendations in relation to credentialing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity + … more
- Sharp HealthCare (San Diego, CA)
- …PowerPoint, and Access required. + Knowledge of customer relationship management, provider management, customer survey, project management, and credentialing ... the Plan, by establishing and maintaining positive working relationships through provider engagement and management. Develops and presents provider … more
- Evolent (Sacramento, CA)
- …of one to two years' experience in the healthcare field related to credentialing , provider enrollment, provider services, and/or configuration is required. ... for the culture. **What You'll Be Doing:** The Specialist, Provider Data Management will be a dynamic role that... data within the claims processing system. + Managing credentialing variables and demographics and contract or fee schedule.… more