- Centene Corporation (Sacramento, CA)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Remote Medical Directors** Centene Corporation is a leading provider of ... Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions... and pharmacy consultants for reviewing complex cases and medical necessity appeals. + Participates in provider … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …NP certification, obtained within 6 months of employment Successfully complete the credentialing process through Medical Staff Services **The expected hiring ... quality of life, goals of care, symptom management and intervention, and provider -child-family communication with an emphasis on child voice. Additionally, we are… more
- CVS Health (Sacramento, CA)
- …lead cross-functional teams and manage large-scale initiatives. + Strong understanding of provider credentialing processes and data governance. + Experience with ... all with heart, each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …NP certification, obtained within 6 months of employment Successfully complete the credentialing process through Medical Staff Services FOR PER DIEMS ONLY: ... Intensive Care Unit (ICU)-credentialed physician. The Nurse Practitioner, Acute Care may provide consultation within their specialty to patients in the Critical Care… more
- Elevance Health (Los Angeles, CA)
- …with strategic providers face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting / credentialing and linkages ... Behavioral Health Provider Quality Manager **Candidates must posses a licensure...or any combination of education and experience, which would provide an equivalent background. + Current, valid, independent, and… more
- Molina Healthcare (Riverside, CA)
- …requirements of customers as it pertains to contracting, network management and credentialing . **Job Duties** Manages the Plan's Provider Contracting functions ... live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Providence (Santa Monica, CA)
- …is responsible for coordinating credentialing and recredentialing for the medical and advanced practice provider staffs. Providence caregivers are not ... must empower them. **Required Qualifications:** + 3 years experience in Medical Staff Services specifically related to Credentialing . **Preferred… more
- Highmark Health (Sacramento, CA)
- …with 50% patient-facing time, and 50% administrative work that involves traveling to medical oncology clinics to meet with staff and can also include administrative ... Practitioners through the American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) + CPR - American Heart Association + Act 34… more
- Sutter Health (Emeryville, CA)
- …+ Proficiency in utilization management processes: authorizations, concurrent review, and medical necessity criteria. + Thorough understanding of credentialing ... for our patients first-and our people always. About this opportunity: The Chief Medical Officer (CMO), Population Health Services and Health Plan Operations, is a… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …- Must obtain within 1 year of employment Successfully complete the credentialing process through Medical Staff Services Successfully complete the requirements ... Commission (must obtain within 1 year of employment) Successfully complete the credentialing process through Medical Staff Services Successfully completes the… more