The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs.
These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Reviewing and submitting provider applications for credentialing. Review new provider applications for completeness and obtain any missing information from CAQH or the provider's office as applicable.
Submit applications to credentialing for processing. Review and prepare Elderplan contracts for execution according to the Elderplan / NPO policy and procedures.
Track all applications sent to credentialing. Maintain the contract tracking database for all new contracts. Update correspondence log for all interactions with the provider.
- High School diploma or equivalent, required. College degree, preferred.
- Two years' experience working within a managed care or related setting, highly preferred.
- Proficient in Health Rules, Visual Cactus, and Microsoft Office (Word, Excel, and Access)
Provider Data Coordinator
Review new provider applications for completeness and obtain any missing information from CAQH or the provider's office as applicable. Reviewing and submitting provider applications for credentialing. Maintain the contract tracking database for all new contracts. Update correspondence log for all in...
Provider Data Service Senior Coordinator
Key Responsibilities:Review incoming requests of large provider data setsValidate requirements and assign work to team membersSupport the roster team with a focus on provider dataRequired Qualifications:3-5+ years of experience in Provider Data and related systemsAdvanced excel skillsAbility to work...
Provider Data Coordinator
Review new provider applications for completeness and obtain any missing information from CAQH or the provider’s office as applicable. Reviewing and submitting provider applications for credentialing. Maintain the contract tracking database for all new contracts. Update correspondence log for all in...
Lead Data Analyst, State Sponsored Programs (SAS Required)
Manage complex analyses and reporting of All Payer Database (APD), and MMCOR responses to/from State of NY, and correction data. Develop and maintain business process and technical workflow documents for State filing APD data submission. ...
AI Business Analyst Enterprise Compute
A company is looking for a Business Analyst in Enterprise AI Compute Solutions. ...
Equity & Options Trader (Work From Home)
Maverick Trading, a 26-year old proprietary trading firm, is looking to hire experienced (5+ years) and entry-level (1+ years) equity and option traders. Join our community of seasoned traders, and benefit from ongoing coaching, educational courses, and regular meetings. After watching the video, if...
CONTRACT | eDiscovery Project Manager
A specific rate of pay for a project will be discussed with you if it is determined that you are a potential fit for a role. ...
Clinical Business Analyst Level II - BH SW Training Academy, MPA Behavioral Health *Grant Funded*
Provide supervision and guidance to junior clinical business analysts, clinical business analysts assigned at Level I, consultants, and/or other appropriate project team members. Interview junior clinical business analysts, clinical business analysts assigned at Level I, consultants, and/or other ap...
Remote Project Manager - Owners Rep
Developer, Owner, Operator experience as a Project Manager for Utility Scale Projects throughout the entire project's lifecycle. Developer, Owner, Operator experience as a Project Manager for Utility Scale Projects throughout the entire project's lifecycle. Manage project risk effectively; assess th...
Data Analyst
Skills: Data Analyst – Data Analysis, Python / R, SQL, Statistics/ Statistical Analysis. Alternatively, a Bachelor's Degree plus at least 5 years of experience in data analytics. Python, R or other statistical analyst software. ...