- 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
- Bassett Healthcare (Cooperstown, NY)
- …quality assurance reviews and support the Quality Improvement Plan + Systems & Data Management + Manage credentialing databases (eg, Verity Stream/Credential ... Credentialing and Enrollment oversees all aspects of provider credentialing , recredentialing, and enrollment processes, ensuring...work queues to ensure timely and accurate follow-up + Provide accurate data on attending and referring… more
- Molina Healthcare (NY)
- …delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + Leading change ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new… more
- Mohawk Valley Health System (Utica, NY)
- …maintaining a database of provider information. Core Job Responsibilities + Provider Credentialing - works with insurance provider representatives to ... Data / Credentialing Specialist - Full...Credentialing Specialist (DCS) must have knowledge of the provider credentialing software to independently make changes,… more
- Highmark Health (Albany, NY)
- …progressive experience. Grandfathered experience requirements effective August 2016. + Experience in Provider Data Management , Customer Services or Claims. + ... applications and re-applications including initial mailing, review, and loading. Maintains provider data base and communicates with providers by phone and… more
- University of Rochester (Albany, NY)
- …Professional Medical Services Management upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The University of ... affiliate hospitals. + Develops and maintains the electronic privileging data and criteria within the credentialing software...of improvement and implement changes as needed. Maintains account data to provide accurate reporting on active… more
- Healthfirst (NY)
- … management , including provider contracting, provider data management , directory data quality, credentialing , and other areas that impact the ... develops, and recommends strategic plans to ensure modern and efficient claims management and provider payment + Analyzes, evaluates, develops, and leads… more
- Molina Healthcare (Yonkers, 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
- Molina Healthcare (NY)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Albany, NY)
- …contracting, network management and credentialing . **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
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