- Molina Healthcare (Miami, FL)
- …inventory, and works with other areas including IT, health plan, claims, provider , enrollment , regulators, and external vendors, as needed, to remediate ... for error resolution, follow up, and performance monitoring. + Understands provider , member, and, inbound claims data compliance in relation to encounters… more
- Insight Global (New York, NY)
- …and regulatory requirements. Collaborate with internal Credentialing, Licensing, and Payer Enrollment teams to ensure seamless provider onboarding. Perform other ... The Credentialing Specialist (Privileging) plays a critical role within the Provider Operations team, supporting the timely and accurate onboarding of healthcare… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …internal departments and external providers regarding existing members request for provider change. This position will assist with CDPAS documentation and ... regarding resolution to members request for a change in provider + Communicate with current provider regarding...# Direct Reports: VP of Strategic Partnership Director of Pre- Enrollment and Home Care Relations Physical Requirements : The… more
- Marriott (Bethesda, MD)
- …of Services Providers Validates completeness of requirements prior to Service Provider solutioning Ensures all projects follow the defined development and business ... risk Follows the defined project management standards and processes **Service Provider Management** Validates that Service Providers develop and manage respective… more
- Cayuse Holdings (Austin, TX)
- …with Texas Health and Human Services programs. + 2 Preferred Experience with provider enrollment systems. + 1 Preferred Scrum Master certification preferred. + ... + Coordinating duties and responsibilities with PEMS Sprint Teams and Provider Services. + Development, maintenance, and monitoring of integrated project timelines… more
- IQVIA (Boston, MA)
- …on REMS enrollment process \#LI-CES IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life ... As the only global provider of commercial solutions, IQVIA understands what it...welfare and/or other benefits. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare… more
- Marriott (Bethesda, MD)
- …of Services Providers * Validates completeness of requirements prior to Service Provider solutioning * Ensures all projects follow the defined development and ... risk * Follows the defined project management standards and processes Service Provider Management * Validates that Service Providers develop and manage respective… more
- North Shore Community Health (Salem, MA)
- …Active Directory, Meraki, VPN, and EMR systems like Epic to lead and provide technical assistance to our company's end-users. The successful candidate will work ... IT team, healthcare providers, and other departments to meet IT needs and provide excellent customer service to our end- users. The Organization North Shore… more
- MyFlorida (Pensacola, FL)
- …needs of the youth and family. Make service referrals to the appropriate provider (s) and follow up actions needing to be taken. Make supervision and treatment ... the State Attorney and other judicial partners that allow the Department to provide the most appropriate services in the least intrusive manner. Complete the… more
- Cornell Cooperative Extension (Schenectady, NY)
- Healthy Schenectady Families Family Support Educators provide support to improve healthy family and parenting choices among eligible families and individuals in ... employment. + Utilize existing evidence-based curricula and support materials to provide accurate, relevant parenting and health education to participating families.… more