• Credentialing Specialist

    TEKsystems (Baltimore, MD)
    …weekly reports related to file categorization, volume, assignment to and completion by Credentialing Specialist , and quality score + Achieved marked increase in ... + Perform initial assessment and analysis of approved credentialing and re- credentialing files to determine compliance with NCQA guidelines and state… more
    TEKsystems (04/30/25)
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  • Credentialing Specialist

    Nuvance Health (Rhinebeck, NY)
    …data management programs, in a timely and accurate manner. * Provides weekly credentialing updates to Practice Management Operations and Billing * Credentials ... in ongoing training and knowledge in regulatory guidelines for formal provider credentialing , NCQA regulations and delegated credentialing . * Meets… more
    Nuvance Health (05/07/25)
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  • Credentialing Specialist - FT Day

    Nuvance Health (Poughkeepsie, NY)
    …document generation. *License, Registration, or Certification Requirements:* * Certified Provider Credentialing Specialist after 3 years on the job experience ... *Description* *Purpose: *Responsible for ensuring the timely and efficient credentialing , including initial appointment, reappointment and privileging of all new and… more
    Nuvance Health (02/09/25)
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  • Credentialing Specialist

    RWJBarnabas Health (Somerset, NJ)
    Credentialing Specialist - Somerset, NJReq #:0000145791 Category:Clerical / Administrative Support Status:Full-Time Shift:Day Facility:RWJBarnabas Health ... Short Hills Road, Somerset, NJ 07052 Job Overview: The Credentialing Specialist is accountable for performing duties...and develops a strong grasp of the medical staff operations and the cultures of each affiliated institution and… more
    RWJBarnabas Health (02/17/25)
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  • Credentialing Specialist I

    Centene Corporation (Jefferson City, MO)
    …years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (ie claims processing, billing, provider ... including a fresh perspective on workplace flexibility. **Position Purpose:** Perform credentialing and related activities based on plan specifications + Perform … more
    Centene Corporation (05/07/25)
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  • Credentialing Spec

    Covenant Health Inc. (Knoxville, TN)
    Overview Credentialing Specialist , Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... to Payer Enrollment and Hospital credentialing . With limited supervision, the Credentialing Specialist acts as a liaison among Covenant Medical Group (CMG)… more
    Covenant Health Inc. (04/17/25)
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  • Provider Credentialing Consultant

    University of Utah Health (Murray, UT)
    …of related experience. **Qualifications (Preferred)** **Preferred** + Certified Provider Credentialing Specialist designation. **Working Conditions and Physical ... only. + This position is responsible for all aspects of the credentialing process including, but not limited to, ensuring healthcare professionals meet all… more
    University of Utah Health (04/16/25)
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  • Supervisor Credentialing VMG

    Virtua Health (Marlton, NJ)
    …required, Bachelors degree preferred. Training / Certification / Licensure: NAMMS or Credentialing Specialist Certification preferred. Must be able to obtain ... Goals and Objectives. Position Responsibilities: Plans, supervises and oversees the daily operations of the VMG Credentialing Coordinators and Specialists to… more
    Virtua Health (04/07/25)
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  • Nurse Practitioner, Physician Assistant…

    Cleveland Clinic (Cleveland, OH)
    …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
    Cleveland Clinic (04/11/25)
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  • Nurse Practitioner (Acute Care), Physician…

    Cleveland Clinic (Cleveland, OH)
    …procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board. + Performs routine procedures such as injections, immunizations, ... complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in… more
    Cleveland Clinic (04/05/25)
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