- Actalent (Redlands, CA)
- Job Title: Provider Data Analyst - Credentialing & Claims Support Position Overview: We are seeking a detail-oriented and collaborative Provider Data Analyst ... dynamic, team-oriented environment. Key Responsibilities: + Convert and validate provider data from credentialing sources. + Read and interpret UB and CMs forms… more
- Ventura County (Ventura, CA)
- …benefits are effectively developed and administered for VCHCP patients. + Conducts provider credentialing and Re- Credentialing . Develops practice profile ... (QA) and Peer Review Committees. Presents to Standing Committee identified provider quality concerns. Implements any Committee disciplinary actions, including any… more
- City and County of San Francisco (San Francisco, CA)
- …Medicare, Medicaid, and/or other federal healthcare programs + Possess a National Provider Identifier (NPI) + Submit a completed credentialing application and/or ... documentation for credentialing + Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance) OR have… more
- City and County of San Francisco (San Francisco, CA)
- …Medicaid and/or other federal health care programs; + Possess a National Provider Identifier (NPI); + Submit a completed credentialing application and/or ... for credentialing ; AND + Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR have submitted… more
- HCA Healthcare (Campbell, CA)
- …Responsibility (DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of the President of SCCIPA and the ... stakeholders about new/modified health plan contracts, including DOFRs, and new/modified provider agreements, and is considered the lead on implementation of such… more
- City and County of San Francisco (San Francisco, CA)
- …Medicare, Medicaid, and/or other federal healthcare programs + Possess a National Provider Identifier (NPI) + Submit a completed credentialing application and/or ... in all specialty areas must be an eligible billable provider and must meet the following criteria within two... credentialing + Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance)… more
- City and County of San Francisco (San Francisco, CA)
- …Medicare, Medicaid, and/or other federal healthcare programs + Possess a National Provider Identifier (NPI) + Submit a completed credentialing application and/or ... in all specialty areas must be an eligible billable provider and must meet the following criteria within two... credentialing + Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance)… more
- HCA Healthcare (Riverside, CA)
- …+ You will provide medical director services to facility-level physician credentialing , business development, and provider relations in contracting issues + ... to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the collaboration and coordination of all stakeholders in… more
- CVS Health (Sacramento, CA)
- …Ensure contact center outreach is aligned with clinical goals, regional targets, and provider availability + Provide daily guidance on outreach priorities based ... or patient readiness issues + Work closely with clinical leadership to track provider compliance, credentialing , and regional deployment plans + Coordinate with… more
- City and County of San Francisco (San Francisco, CA)
- …Medicaid and/or other federal health care programs; + Possess a National Provider Identifier (NPI); + Submit a completed credentialing application and/or ... for credentialing ; AND + Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR have submitted… more