- CVS Health (Carson City, NV)
- …units in support of organizational objectives. + Communicates direction for Credentialing Operations processes to managers, supervisors, and individual ... to assess progress against goals. + Formulates and implements strategy for the credentialing operations unit to support business objectives and initiatives. +… more
- University of Rochester (Albany, NY)
- …regarding quality of care. In collaboration with the Payer Enrollment Manager , coordinates the functions related to Delegated Credentialing /Commercial Payer ... maintaining, and communicating the medical and allied health professional staff credentialing , privileging, and primary source verification process. Serves as a… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …support to the Region Credentials Verification Office. Responsible for all credentialing verification activities to ensure that processes meet state, federal, and ... other duties as assigned in an effective competent manner. Promotes credentialing staff compliance with regulatory and accreditation agencies by continuously… more
- Molina Healthcare (Sterling Heights, MI)
- …sanctions and exclusion monitoring of provider network and integration of credentialing operations for new markets and acquisitions, involving department ... 5-7 years of Program and/or Project management experience. * Managed Care credentialing experience. * Experience working in a cross functional highly matrixed… more
- Community Health Systems (Dothan, AL)
- …This role ensures compliance with regulatory and accreditation standards, manages credentialing operations , and maintains accurate records of provider ... to ensure compliance with regulatory standards. + Oversees the credentialing operations , including application processing, primary source verification,… more
- Option Care Health (Chicago, IL)
- …a key role in deployment for the department. Completing complex credentialing requests, documents, and packets, maintaining fee schedule proposals, and coordinating ... and/or time spent) + Responsible for the completion and management of credentialing and attestation documents required by AIC Payers for execution of contracts… more
- Robert Half Finance & Accounting (Indianapolis, IN)
- Description We are looking for a dedicated Credentialing Specialist to join our client's team in Indianapolis, Indiana. In this role, you will oversee the ... credentialing , re- credentialing , and privileging processes for medical...organized and committed to maintaining high standards in healthcare operations . This role offers a hybrid schedule, excellent benefits,… more
- Novant Health (Charlotte, NC)
- …responsible for keeping the Manager and Leadership of the Novant Health Credentialing & Medical Staff Operations (CMSO) Central Office informed on the status ... Job Summary The Credentialing Specialist is responsible for leading, coordinating, and...Specialist is responsible for leading, coordinating, and managing the credentialing and reappointment processes for physicians, advanced professionals, and… more
- Virtua Health (Marlton, NJ)
- …for credentialing are uploaded and maintained. Works with practice manager and/or provider to facilitate the gathering of documents for timely processing ... and PECOS system, such as but not limited to documents, affiliations, hours of operations , and call coverage partners. If data is not accurate, the coordinator will… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations . The C&P Specialist is aligned ... and policies and procedures pertaining to the C&P process. Assists C&P Manager /Analyst in drafting local credentialing processes and Medical Staff Bylaws… more