- National Youth Advocate Program (Columbus, OH)
- …regarding credentialing /contracting on timely resolution. + Maintain and Update provider grid to include Logins, NPI's, Taxonomies, Payers, credentials, etc. + ... **We are seeking a full-time Revenue Cycle Credentialing Manager to join our NYAP team in...for NYAP. Ensure timely and accurate submissions of all provider /payer applications. Establish and maintain best practice processes for… more
- Eisai, Inc (Cincinnati, OH)
- …product(s) consistent with FDA approved label. Works with office management to provide various informational resources, such as product data, and builds appropriate ... selected for the position may be required to complete third parties' credentialing and/or entry requirements, which often include an attestation to and/or providing… more
- Prolink (Cincinnati, OH)
- …operations team to facilitate consistent onboarding of new clients and external talent, provide service and support, and ensure compliance with all client and Joint ... implement internal processes to complete clinical licensure and client-specific credentialing , including support for questions related to licensure, eligibility,… more
- Highmark Health (Columbus, OH)
- …sends necessary paperwork to credentialing vendor. + When necessary performs credentialing verifications and loads provider to appropriate networks and ... credentialing information to the provider database. + Manage credentialing inventory, reports...our business partners, internal departments and external clients. + Provide customer oversight for our customers who have unique… more
- OhioHealth (Marion, OH)
- …and regulatory standards + Data management and Systems + Proficiency in credentialing software and managing databases to track provider credentials and ... our careers and in our communities. **Job Description Summary:** - The Credentialing Program Manager reports to the Medical Affairs Manager. This position provides… more
- ASM Research, An Accenture Federal Services Company (Columbus, OH)
- …or GED; Bachelor's Degree in healthcare or business field preferred + Certified Provider Credentialing Specialist (CPCS) preferred + 2-5 years of experience ... Processes credentialing and re- credentialing applications for the...status, documentation of contingency and continuing education training, national provider identification number, and for non-personal services contract providers… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- …analytical reviews, manages data, and advises VAMC leadership on Credentialing and Privileging (C&P) processes. Responsibilities include implementing, maintaining, ... FPPE and OPPE monitoring systems for all VAMC divisions and various provider appointments, following VHA C&P guidelines, Joint Commission standards, and State and… more
- Molina Healthcare (Cincinnati, OH)
- …internal business projects and programs, including sanctions and exclusion monitoring of provider network and integration of credentialing operations for new ... as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Sedgwick (Columbus, OH)
- …procedure instructions, and regulations regarding MCO services; and to work with MCO provider on physician credentialing , MCO additions and removals, network and ... the company Medical Director and vendor partner(s) on physician identification and credentialing processes, MCO provider additions and removals, MCO network… more
