- Molina Healthcare (Albany, NY)
- …High School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a ... Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management… more
- WellLife Network (NY)
- Credentialing Specialist - FIN113 - Mon-Fri 9AM5PM Job Details Job Location Remote (Off Site) - NY Education Level High School Salary Range $60000.00 - $65000.00 ... and re- credentialing activities, ensuring providers meet compliance standards and that provider data is included in payer rosters and directories. + Monitor… more
- Molina Healthcare (NY)
- **Molina Healthcare** is hiring for a **Corporate Credentialing Associate Specialist ** . This role is remote and can be worked from a variety of locations within ... have excellent communication skills, and be self-motivated. **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network… more
- WMCHealth (Hawthorne, NY)
- Credentialing Specialist -ONSITE Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28793) Internal Applicant link Job Details: Job Summary: The Credentialing Specialist is responsible for providing administrative… more
- Nuvance Health (Poughkeepsie, NY)
- …reporting and document generation. *License, Registration, or Certification Requirements:* * Certified Provider Credentialing Specialist after 3 years on the ... credentialing audits by internal and external surveyors * Utilizes the credentialing database, optimizing efficiency, and performs data entry, query, report… more
- Nuvance Health (Rhinebeck, NY)
- …reporting and document generation. *License, Registration, or Certification Requirements:* - Certified Provider Credentialing Specialist after 3 years on the ... credentialing audits by internal and external surveyors 8. Utilizes the credentialing database, optimizing efficiency, and performs data entry, query, report… more
- Molina Healthcare (Buffalo, NY)
- …Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management ... daily/weekly production goals and maintaining a high level of confidentiality for provider information. **Job Duties** * Evaluates credentialing applications for… more
- University of Rochester (Rochester, NY)
- …+ Certified Medical Professional Services Management (CPMSM) upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- Molina Healthcare (New York, NY)
- … databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of ... business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- Albany Medical Center (Albany, NY)
- …(ie, NCQA, JCAHO, NYS DOH, NYS DOE, CMS and Federal laws) + Certified Provider Credentialing Specialist (CPCS) Upon Hire - preferred Equivalent combination ... System's ongoing auditing & monitoring of credentials files. The Provider Enrollment Specialist Serves as a high...regulations + Assists with onboarding and training of new credentialing associates to the NCQA and provider … more
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