- Trinity Health (Syracuse, NY)
- …Participates in education conferences and in-services. Certified Provider Credentialing Specialist (CPCS) Certification preferred.Participates in orientation ... professional agency staff.SUPERVISED BY:Director, Manager, or CoordinatorSUPERVISES:NoneCAREER PATH:Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …required. Qualifications: + Minimum of two (2) years previous experience in a managed care organization's Credentialing department. + NAMSS CPCS ... are received and processed, correct data entry, and updated regulatory and credentialing documents are entered and/or scanned into the Doctors HealthCare Plans, Inc,… more
- Henry Ford Health System (Troy, MI)
- … or related field or four (4) years of related experience in healthcare industry, managed care experience in lieu of degree. + Bachelor's degree in business, ... + Minimum of two (2) years of experience in managed care experience. + Minimum of two...desirable. CERTIFICATIONS/LICENSURES REQUIRED: + Certification as CPCS (Certified Provider Credentialing Specialist ) or CMSC (Certified Medical Staff… more
- OhioHealth (Marion, OH)
- …(Required) **Additional Job Description:** **degree and two years' experience in the healthcare, managed care , credentialing or medical staff services field ... or equivalent combination of education and 7+ years' experience in healthcare, managed care , credentialing or medical staff services field** **SPECIALIZED… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Eastern Connecticut Health Network (Manchester, CT)
- …State licensure inspection surveys. + Responds to inquiries from other health care institutions, managed care organizations and internal departments ... the activities of the Medical Staff Office including the onboarding and re- credentialing process for practitioners. Coordinates the activities of the Organization's … more
- Organon & Co. (Plymouth Meeting, PA)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- AdventHealth (Altamonte Springs, FL)
- …requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting team, ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… more
- Northwell Health (New York, NY)
- …inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing , managed ... re- credentialing requests and coordinates site visits related to managed care contracts. + Prepares and reviews physician membership applications; verifies … more