A company is looking for a Credentialing Audit Manager to oversee credentialing compliance and audits.Key ResponsibilitiesConduct daily audits of credentialing files to ensure compliance with NCQA standardsTrack and trend errors in the system, providing monthly reports to leadershipMake recommendations for process improvements and assist with corrective action stepsRequired Qualifications5+ years of experience in credentialing with knowledge of NCQA and URAC standardsExperience using Verity CredentialStream software is a plusAdvanced Microsoft Excel skillsKnowledge of EFT, ERA, EDI enrollment, and claims systems preferredMust comply with HIPAA rules and regulations
Credentialing Audit Manager
A company is looking for a Credentialing Audit Manager to oversee credentialing compliance and audits. ...
Clinical Nursing Operations Manager (RN) (Hiring Immediately)
Collaborating with the operations and business development team. Ensure that the RN supervisorsclinical care managers are aware of any. ...
CX Operations Business Analyst
A company is looking for a CX Operations Business Analyst III. ...
HSPD-12: Government Badging & Credentialing Specialist (Plantation, FL - REF1659I)**
Citizant is a leading provider of professional IT services to the U.We seek to address some of our country's most pressing challenges in the areas of Agile application development, Enterprise Data Management, Enterprise Architecture, and Program Management support services - focusing on the U.Depart...
Senior Business Analyst
We are seeking a Business Analyst to support project implementations or be a key member of a product team. Develop a deep understanding of business needs and priorities by building strong relationships with business owners. Business Analyst working on projects or product teams, primarily focusing on...
Customer Service and Sales Operations Manager
ASC Global is seeking a dynamic Customer Service and Sales Operations Manager to enhance our sales operations and customer service functions. You will oversee various aspects of sales operations, support inside sales efforts, and manage customer service functions. Address and resolve escalations fro...
Data Entry Specialist
Fully Bilingual Spanish/English Data Entry Specialist. The ideal candidate will not only excel in data entry and clerical tasks but also be comfortable with handling warehouse duties. Data entry, filing, returns processing, some phone work, etc. Clerical/data entry experience required; reception exp...
Data Entry Clerk
We are seeking a detail-oriented Data Entry Clerk to join our team. Enter and update data in databases and computer systems with a high level of accuracy. Identify and correct errors in data entry processes. High school diploma or equivalent; additional certification in data entry or related field i...
Bilingual Administrative Assistant
Hollywood, FL as an Administrative Assistant:. Are you the super-star multitasker type, strong in administration skills? Our Administrative and Clerical positions support the business from multiple locations and via various functions across the nation. Serve as primary administrative support to Phar...
Administrative Assistant II - Hialeah Gardens
World Electric is hiring an Administrative Assistant to join our team. Job Description: Schedules appointments, gives information to callers and conducts clerical and administrative work by performing the following duties:. Other administrative duties as needed. ...