- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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