A company is looking for a Specialist, Credentialing Operations with NCQA experience.Key ResponsibilitiesMaintain provider data within the credentialing platformManage credentialing and re-credentialing files, ensuring compliance with NCQA guidelinesConduct ongoing monitoring of exclusions, sanctions, and adverse eventsRequired QualificationsBachelor's Degree or equivalent work experienceTwo to three years of experience in healthcare related to credentialing or provider enrollmentKnowledge of NCQA credentialing and recredentialing guidelinesProficiency in Microsoft Office SuiteGeneral understanding of US healthcare and Managed Care Organizations
Credentialing Operations Specialist
A company is looking for a Specialist, Credentialing Operations with NCQA experience. ...
PMOGA Community & Market Coordinator
JobPosting","title":"PMOGA Community & Market Coordinator","datePosted":"2024-06-26T00:00:00","validThrough":null,"description":"How will you make a difference to PMI?\nThe PMOGA Community and Market Coordinator is integral in providing operational and administrative support to both the PMOGA Commun...
Sr. Provider Enrollment & Credentialing Coordinator
The Senior Provider Enrollment & Credentialing Coordinator performs analytical provider enrollment and credentialing functions with payers, vendors, and practices. Administers credentialing processes in accordance with NCQA guidelines, including quality assurance and compliance tasks, delegated cred...
PMO Operations Coordinator
A company is looking for a PMO Operations Coordinator (Remote) to support the Vice President of Project Management Office in operationalizing PMO policies and providing administrative support. ...
Credentialing Specialist
We are currently seeking a part-time Credentialing Specialist. Along with billing and coding, ECM's services include credentialing, practice management, compliance, revenue enhancement, marketing and more. In this role, you will be responsible for credentialing physicians and other medical provi...
Credentialing Coordinator
Under the supervision of the Credentialing Manager, the Credentialing Coordinator will organize and maintain all aspects of the credentialing process and functions related to the Credentialing Department. The responsibilities of this position, include but are not limited to, tasks that are related t...
Medical Credentialing Coordinator
The Licensing and Credentialing Specialist is responsible for managing the credentialing process for healthcare providers, ensuring compliance with all regulatory and accreditation requirements. Work closely with our third-party administrator, Medallion, to manage the initial credentialing and re-cr...
Credentialing Specialist
Review provider re-credentialing and credentialing file for completion and presentation to the Credentialing. Understanding of credentialing activities as they relate to initial credentialing, re-credentialing, and. Review and respond to request for credentialing information/copies of credentialing ...
Legal Assistant/Receptionist
Bhurtel Law firm is a personal injury law firm.BLF represents victims in civil claims or Tort claims, for example, Vehicle Accidnet, Construction Accident, Trip and Fall, Slip and Fall, Toxic Tort (Environmental Tort) Brain injury and others.The ideal candidate will ensure smooth running of the offi...
Partnership In Care Operations Manager
Under the supervision of the Senior Director, the Partnership in Care (PIC) Operations Manager will oversee the day-to-day operations of the department including direct oversight of the eligibility and retention team, ensuring the department meets the defined operational and regulatory requirements....