• Credentialing Specialist

    The County of Los Angeles (Los Angeles, CA)
    …carry out job-related essential functions. CERTIFICATION: Successful certification as a Certified Provider Credentialing Specialist issued by the National ... experience, indicate "No Experience" 03 Do you possess certification as a Certified Provider Credentialing Specialist issued by the National Association of… more
    The County of Los Angeles (07/29/25)
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  • Supervisory Health System Specialist

    Veterans Affairs, Veterans Health Administration (San Diego, CA)
    …C&P program; analyzes program audit results; interprets facility quarterly report card data ; researches provider credentialing requirements; and identifies ... Summary The Supervisory Health System Specialist - Credentialing and Privileging Manager...quarterly security reports, quarterly accuracy certification of the Our Provider 's website, and accuracy of the VA/DoD shared … more
    Veterans Affairs, Veterans Health Administration (05/22/25)
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  • Sr Specialist , Credentialing

    Cardinal Health (Sacramento, CA)
    …and updates per profile + Work closely with third party vendors to identify data needs and execute updates when required + Report results and outcomes of network ... + Respond to third party/managed care requests in a timely manner + Provide existing customers and third-party vendors with the best possible service and… more
    Cardinal Health (07/24/25)
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  • Specialist , Provider Data

    Evolent (Sacramento, CA)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Provider Data Management will be a dynamic role that will ... encompass overall support and maintenance of provider data . We value curiosity, creativity, and...data within the claims processing system. + Managing credentialing variables and demographics and contract or fee schedule.… more
    Evolent (07/31/25)
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  • Credentialing Coordinator II - Hybrid

    Cedars-Sinai (CA)
    …Staff Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two ... and qualitative requirements. Participates in effective day-to-day operations of the credentialing functions and provide recommendations to enhance productivity… more
    Cedars-Sinai (07/23/25)
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  • Provider Account Specialist - SHP…

    Sharp HealthCare (San Diego, CA)
    …software applications, and recommends action plans, if necessary.Analyzes, interprets and communicates data related to provider performance in a clear, concise ... and concepts in presentation, reporting and correspondence formats.Analyzes and interprets data to prepare accurate summary reports from provider research… more
    Sharp HealthCare (06/04/25)
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  • Provider Contracts Specialist

    Molina Healthcare (Long Beach, CA)
    …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...customers as it pertains to contracting, network management and credentialing . **Job Duties** This role negotiates assigned contracts and… more
    Molina Healthcare (07/25/25)
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  • Network Data Specialist II

    Elevance Health (Los Angeles, CA)
    **Network Data Specialist II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... accommodation is granted as required by law._ The **Network Data Specialist II** Responsible for accurate, timely...critical provider information on all claims and provider databases. + Synchronizes data among multiple… more
    Elevance Health (08/01/25)
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  • Senior Physician Specialist -…

    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 (05/21/25)
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  • Physician Specialist - All Specialties

    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
    City and County of San Francisco (05/21/25)
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