- Insight Global (New York, NY)
- Job Description The Senior Analyst, Provider Data Operations works to solve complex issues or concerns impacting our provider data through end to end processing. ... Positively impact provider experiences and member outcomes by ensuring ...with providers and work collaboratively with other teams to provide efficient and thorough resolution by providing world class… more
- Cardinal Health (Albany, NY)
- …+ 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
- Stony Brook University (Commack, NY)
- …with the Director of Enrollment. + Conduct data entry for MCE in Symplr Provider credentialing software. Responsible for the timely processing and tracking of ... in a provider 's demographic data, licensure or certification, update delegated credentialing electronic roster for each assigned MCO and email to MCO within… more
- Immigration and Customs Enforcement (Batavia, NY)
- …Services Program. The incumbent will serve as a Psych Advanced Practice Provider (APP), whether they are a Psych Mental Health Nurse Practitioner (PMHNP), ... performs functions as outlined in the IHSC Psychiatric Advanced Practice Provider Collaborative Practice and Prescriptive Authority Agreement and the IHSC formulary.… more
- Molina Healthcare (Syracuse, NY)
- …+ Audit loaded provider records for quality and financial accuracy and provide documented feedback. + Ensure that provider information is loaded accurately ... DESCRIPTION** **Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains… more
- Humana (Albany, NY)
- …to demographics, rates, and contract intent. + Manages provider audits, provider service and relations, credentialing , and contract management systems. + ... Healthy Horizons is seeking a Network Operations Professional who maintains provider relations to support customer service activities through data integrity… more
- Centene Corporation (New York, NY)
- …flexibility. **Position Purpose:** Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities + Manage the ... area including work flow, training and communication standards + Manage day-to-day provider relations activities and provider relations department + Develop,… more
- Hudson Headwaters Health Network (Queensbury, NY)
- If you are interested in provider opportunities with Hudson Headwaters Health Network, Please also send your CV to Jenny Leszyk at ###@hhhn.org HHHN Mission To ... provide the best health care, and access to that...APC's. + All providers are expected to maintain authorized provider status with the Workers Compensation Board. + Consults… more
- Aspen Dental (East Syracuse, NY)
- …to delivering high-quality consumer healthcare experiences at scale. **Job Summary** The Provider Enrollment Specialist plays a vital role within our Payor Strategy ... and remain active. The successful candidate will report to the Provider Enrollment Manager. **Essential Responsibilities:** + Submit and process initial enrollment… more
- Catholic Health Services (Rockville Centre, NY)
- …Care Unit, and has received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region and one of only two ... to receive this prestigious award. The Medical Advanced Practice Provider (APP) is a member of the medical care...patient evaluation and management functions. The Medical APP shall provide patient care commensurate with their level of advancement;… more
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