• Credentialing and Privileging…

    Highmark Health (Tallahassee, FL)
    …insurance or managed care + 1 year in customer service + Certified Provider Credentialing Specialist (CPCS) **OR** Certified Professional Medical Services ... Description :** **GENERAL OVERVIEW:** This job coordinates and implements the credentialing and privileging activities within the Credentialing and Privileging… more
    Highmark Health (08/27/25)
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  • Specialist , Corporate Credentialing

    Molina Healthcare (Orlando, FL)
    …High School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a ... **Job Description** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare ... Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory… more
    Molina Healthcare (08/31/25)
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  • Credentialing Specialist

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …documents are entered and/or scanned into the Doctors HealthCare Plans, Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support to ... Position is On-Site Scope of Position: Maintain an efficient provider credentials system by ensuring completed credentials CAQH profiles and/or applications are… more
    DOCTORS HEALTHCARE PLANS, INC. (08/24/25)
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  • Director Credentialing Operation

    AdventHealth (Tampa, FL)
    …with responsibilities overseeing and managing credentialing Required. . Certified Provider Credentialing Specialist (CPCS) Required or Certified ... functions while managing the daily operations of the credentialing and provider enrollment team including selection,.... Provide oversight and guidance to the provider data and credentialing team to ensure… more
    AdventHealth (08/07/25)
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  • Supervisor, Credentialing - Remote

    Molina Healthcare (Jacksonville, FL)
    …and leadership skills. Required License, Certification, Association: Preferred Certified Provider Credentialing Specialist (CPCS) or, participation ... **Job Description** **Job Summary** The purpose of the credentialing program is to ensure the Molina ... credentialing program is to ensure the Molina provider network consists of providers that meet regulatory and… more
    Molina Healthcare (08/28/25)
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  • Sr. Medical Staff Services Specialist

    University of Miami (Miami, FL)
    …and Licensing: Certified Professional Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) highly preferred. Experience: ... . Job Description Summary The Senior Medical Staff Services Specialist is a vital member of the Medical Staff...Data Management & Reporting: + Maintains accurate and up-to-date provider data in credentialing software (eg, Cactus,… more
    University of Miami (08/15/25)
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  • Associate Specialist , Corporate…

    Molina Healthcare (Miami, FL)
    …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
    Molina Healthcare (08/27/25)
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  • Manager Medical Staff Services

    BayCare Health System (St. Petersburg, FL)
    …CPMSM certification (Certified Professional Medical Staff Management) or CPCS (Certified Provider Credentialing Specialist ) with the National Association ... 4:30pm **Responsibilities and Required Skills:** + Administers the medical staff credentialing and reappointment process and assists the medical staff in supporting… more
    BayCare Health System (06/18/25)
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  • Director of Medical Staff Services

    HCA Healthcare (Largo, FL)
    …university . Current Certified Professional Medical Staff Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) with the National ... Medical Staff Services. As our new Director, you will provide direction and management of the medical services office...Regulations. . You will ensure Medical Staff Office and credentialing program complies with Medical Staff standards, The Joint… more
    HCA Healthcare (07/24/25)
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  • Provider Enrollment Specialist

    LogixHealth (Dania Beach, FL)
    Location: On-Site in Dania Beach, FL This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all provider enrollment related ... provider enrollment requirements by state + Enter group/individual data to credentialing system + Prepare and submit provider enrollment applications to… more
    LogixHealth (08/08/25)
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