- Henry Ford Health System (Troy, MI)
- …desirable. CERTIFICATIONS/LICENSURES REQUIRED: + Certification as CPCS (Certified Provider Credentialing Specialist ) or CMSC (Certified Medical Staff ... including NCQA , CMS, MDCH and HAP's established standards; maintain credentialing files according to regulatory standards and guidelines including NCQA ,… more
- Integra Partners (Troy, MI)
- …but are not limited to: + Deep knowledge of CMS, state Medicaid, and NCQA regulations relevant to Utilization Management (UM), Credentialing and Claims, with the ... + Stand up a regulatory monitoring cadence (CMS updates, state Medicaid portals, NCQA updates, etc.) to track changes impacting operations + Begin delivering… more