- 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
- Centene Corporation (Jefferson City, MO)
- …in related field or equivalent experience. 3+ years of combined management and provider data management , credentialing or healthcare operations (ie ... on workplace flexibility. **Position Purpose:** Supervise the daily operations of the credentialing function and provide guidance and performance feedback to… 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
- NTT DATA North America (Dallas, TX)
- …equivalent. + 3+ years of experience in a Healthcare processing ( Provider Data Management preferred, Claims, Credentialing , or other Healthcare Payer/ ... Provider experience) Preferred Skills/Experience: + Experience in Provider Data Management , Provider Credentialing , Medical Claims + 3+ years of… more
- Molina Healthcare (IA)
- …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 (GA)
- …as liaison for MHI Operations, including: Claims, Configuration Information Management , Provider Data Management , Credentialing , Enrollment, and ... lines of business. * Works with staff and senior management to develop and implement provider and...support accurate claims payment and for development of accurate provider directories. * Oversees Provider Credentialing… more
- Southeast Health (Dothan, AL)
- …initial enrollment and re- credentialing + Accountable for directly entering and updated provider data into the data repository of credentialing ... health related field. + Post-secondary education would include administrative training, management training, provider enrollment and/or credentialing … more
- Geisinger (Danville, PA)
- …urgent enrollment items and escalations. + Ensure timely and accurate submission of provider data to all applicable payers, including Medicare, Medicaid, and ... necessary to successfully perform the job. #LI-REMOTE Position Details Certified Provider Credentialing Specialist (CPCS) - NAMSS preferred. Certified… 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
- Beth Israel Lahey Health (Woburn, MA)
- …+ Support leadership reporting, project implementation, and strategic planning related to credentialing and provider lifecycle management . + Perform other ... regulatory compliance efforts that support a unified, system-wide approach to provider credentialing and governance. **Job Description:** **Essential Duties &… more
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