- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted ... across the departments multiple processes such as Credentialing and Provider Data Management activity. 2. Participates in ongoing sanctions monitoring… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …maintains current and accurate data for all providers. + Completes provider credentialing and re- credentialing applications, monitors applications and ... verification. Qualifications Requirements and Qualifications + Associates Degree and Certified Provider Credentialing Specialist (CPCS) and minimum 2-3 Years … more
- Molina Healthcare (NY)
- …High School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS ... **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk … more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …C&P program; analyzes program audit results; interprets facility quarterly report card data ; researches provider credentialing requirements; and identifies ... standards, please visit the United States Office of Personnel Management 's website at https://www.opm.gov/policy- data -oversight/classification-qualifications/general-schedule-qualification-standards/. Education There is… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …C&P program; analyzes program audit results; interprets facility quarterly report card data ; researches provider credentialing requirements; and identifies ... incumbent serves as a Supervisory Health Systems Specialist - Credentialing and Privileging Manager. They oversee all functions related...to the C&P program. They ensure quality assurance and provide oversight for the VAMC C&P program and ensures… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk ... daily/weekly production goals and maintaining a high level of confidentiality for provider information. **Job Duties** * Evaluates credentialing applications for… more
- Trinity Health (Syracuse, NY)
- …preferred. Participates in education conferences and in-services. Certified Provider Credentialing Specialist (CPCS) Certification preferred.Participates in ... and professional agency staff.SUPERVISED BY:Director, Manager, or CoordinatorSUPERVISES:NoneCAREER PATH:Certified Provider Credentialing Specialist (CPCS) or Certified Professional… more
- Cardinal Health (Albany, NY)
- …and updates per profile + Work closely with third party vendors to identify data needs and execute updates when required + Report results and outcomes of network ... status to management at regular intervals + Respond to third party/managed...third party/managed care requests in a timely manner + Provide existing customers and third-party vendors with the best… more
- Evolent (Albany, NY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist, Provider Data Management will be a dynamic role that will encompass ... overall support and maintenance of provider data . We value curiosity, creativity, and...role works closely with our Evolent partners to support data management , claims processing, and other activities… more
- Stony Brook University (Commack, NY)
- …the Director of Enrollment. + Conduct data entry for MCE in Symplr Provider credentialing software. Responsible for the timely processing and tracking of ... of a change in a provider 's demographic data , licensure or certification, update delegated credentialing ...State Department of Health Laws as they pertain to credentialing . + Demonstrate project management skills and… more
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