- Molina Healthcare (Orem, UT)
- …requirements of customers as it pertains to contracting, network management and credentialing . Job Duties This role supports negotiations with assigned contracts and ... by management. Formats and distributes Provider network resources (eg electronic specialist directory). Job Qualifications REQUIRED EDUCATION : High School Diploma… more
- Molina Healthcare (Salt Lake City, UT)
- …it pertains to contracting (benefit and provider), network management, credentialing , prior authorizations, fee schedules, and other business requirements critical ... to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit process. Provide clear and concise results and comments to leaders about focal audits. Contributes to completion of audits as… more
- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The Credentialing Specialist (CS) is responsible for facilitating Intermountain Health's centralized verification office (CVO) program and ... Degree from an accredited institution. Degree will be verified. + Certified Provider Credentialing Specialist (CPCS) by the National Association of Medical Staff… more
- CVS Health (Salt Lake City, UT)
- …data integrity issues in a timely manner. **What you will do** The Credentialing Specialist is responsible for managing and maintaining the credentialing ... all credentialing activities are completed timely and accurately. The specialist maintains Credentialing systems and collaborates closely with Provider Data… more
- CommonSpirit Health (West Jordan, UT)
- …may be considered. + Current certification as a NAMSS Certified Provider Credentialing Specialist (CPCS) required, or achieve certification within three and ... and oversight of all aspects of Medical Staff governance to include credentialing , peer review, medical staff relations, medical staff meetings, and management of… more
- University of Utah (Salt Lake City, UT)
- …solving. May participate in faculty recruitment and work closely with the department's credentialing specialist to ensure that providers are credentialed at the ... time of hire. 15. Develops, tests, implements, and evaluates new and creative approaches to meeting division and department goals. 16. Integrates trends in healthcare and the field of assigned pediatric subspecialty to forecast future division and department… more
- University of Utah (Salt Lake City, UT)
- …problem solving. May participate in faculty recruitment and work closely with the credentialing specialist to ensure that providers are credentialed at the time ... of hire. 15. Develops, tests, implements, and evaluates new and creative approaches to meeting division and department goals. 16. Integrates trends in healthcare and the field of assigned pediatric subspecialties to forecast future division and department… more
- Sedgwick (Salt Lake City, UT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **This Vocational Field Case Manager will cover our Salt Lake City, ... writing, career counseling, adjustment counseling, or vocational evaluations based on credentialing required by referral source. + Works with referral source as… more
- Intermountain Health (Salt Lake City, UT)
- …Staff, Medical Directors, and Administration. The position directs the on-going credentialing / privileging process and other administrative functions for the ... database and distributes information to designated department representatives and credentialing administrators. + Completes all payer re- credentialing requests… more
- Fujifilm (Salt Lake City, UT)
- **Position Overview** The Product Support Specialist provides a technical evaluation, investigation, and product support to HCUS customers and internal departments. ... belief or other legally required exemption._ _Applicants to positions where vendor credentialing or other similar requirements exist to enter facilities will be… more
