- 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
- MVP Health Care (Tarrytown, NY)
- …regulatory compliance. + Liaison between IPAs, Professional Relations, Provider Data Management , Network Development and Credentialing department. + ... requests, ongoing monitoring files, early files, and staff review files. + Data enters Credentialing information into sProvider (formerly Cactus) … more
- Molina Healthcare (Yonkers, 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
- Molina Healthcare (Yonkers, 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)
- …United States Office of Personnel Management 's website at https://www.opm.gov/policy- data ... Summary The Health System Specialist - Credentialing and Privileging Specialist is assigned to the...as appropriate. The incumbent is responsible for collecting relevant data and making informed decisions to ensure qualified health… 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
- RWJBarnabas Health (Somerset, NJ)
- …manage and monitor processes and procedures that support the credentialing , re- credentialing , and expirables data management processes. The CVO Manager ... credentialing database Preferred: + Certified Professional in Medical Staff Management or Certified Provider Credentialing Specialist certification… more
- Molina Healthcare (Yonkers, NY)
- … databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of ... business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- BronxCare Health System (Bronx, NY)
- …Coaching and performance reviews for various clinic locations. - Identifies that provider credentialing information is consistent in each system along the ... Improvement activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with risk … more
- RWJBarnabas Health (Livingston, NJ)
- …needs + Distributes daily assignments to respective departments + Documentation and Data Management + Establishes and communicates operational guidelines for ... working with HR, site credentialing and payor credentialing + Facilitate Provider enrollment in insurance/...and exam logs to reconcile medical records + Review management reporting data to ensure radiologists are… more
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