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Manager Credentialing Jobs

Ncqa Credentialing Jobs
By Randstad At United States
Conduct thorough verification and analysis of healthcare professionals' credentials, licenses, certifications, education, and work experience.
Utilize electronic systems and databases to manage and track credentialing documents and status updates.
Minimum of 3 years’ experience working for an organization with an NCQA-accredited credentialing program
Minimum of 3 years’ experience directly assisting in the completion of an NCQA credentialing accreditation/re-accreditation survey
Strong understanding of healthcare terminology, licensing regulations, and professional qualifications
Assist with completing NCQA credentialing accreditation and re-accreditation surveys.
Credentialing Coord I Jobs
By One Call At Jacksonville, FL, United States
Excellent problem solving, time management, and work prioritization skills.
General Knowledge, Skills & Abilities
Manage and maintain continuing medical education records for practitioners/providers.
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Clerical office, data entry, e-filing, and customer interfacing/communication experience required (preferably in a healthcare setting).
Opportunities to work from home
Credentialing And Onboarding Manager
By People 2.0 At , $65,000 - $100,000 a year
Strong communication and “people” skills are essential, with an ability to communicate effectively at all levels of management
Skills and experience we value:
Minimum 5 years experience in healthcare staffing space focused on the administrative and back-office functions
Strong interpersonal skills with a demonstrated ability to work successfully across multiple clients and effectively collaborate with others
Exceptional customer service skills and demeanor as well as attention to details
Demonstrated critical thinking and problem-solving skills
Manager Of Credentialing - Remote Position
By Envision Healthcare At Fort Lauderdale, FL, United States
Uses professional knowledge and judgement to advise functional leaders.
Develop and manage audit activities in support of quality improvements, timelines, and accountability.
Coordinate team meetings and educational trainings in collaboration with Credentialing Director.
In depth knowledge of credentialing
Demonstrates ability to lead, manage and motivate teams
Strong written, oral, and interpersonal communication skills
Credentialing Assistant Jobs
By Unified Women's Healthcare At Florida, United States
Monitor and advise care centers on Licensure, DEA, Board Certification, and Malpractice Insurance expirations via Salesforce.
1 year of experience in healthcare field (Primary Source Verification, Payer, MSO office or Physician Office).
Knowledge of Salesforce is a plus.
Knowledge of Credentialing terminology is a plus.
Ability to multi-task, excellent organizational skills and planning skills required.
1 year of experience working with credentialing and/or enrollment preferred.
Credentialing Coord Ii Jobs
By One Call At Jacksonville, FL, United States
Excellent problem solving, time management, and work prioritization skills.
General Knowledge, Skills & Abilities
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Opportunities to work from home
Tuition Reimbursement Program including certifications
Experience with computer systems required, including web-based applications and Microsoft Office applications which include Outlook, Word, Excel, PowerPoint, and PDF
Credentialing Coord I Jobs
By One Call At Home Park, FL, United States
Excellent problem solving, time management, and work prioritization skills.
General Knowledge, Skills & Abilities
Manage and maintain continuing medical education records for practitioners/providers.
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Clerical office, data entry, e-filing, and customer interfacing/communication experience required (preferably in a healthcare setting).
Opportunities to work from home
Credentialing Jobs
By Hire Writing, LLC At United States
REMOTE | Base: $23-$26/hour + Full Benefits (medical, dental, vision, and PTO)
Manage documentation uploads critical to a client ‘activation’ in the system e.g. w-9s and licenses
Bonus: billing, coding, auditing, appeals, and medical records experience
Excellent interpersonal skills and strong communication
Enter pertinent information as a new record for each client account
Identify, retrieve, upload, and secure any documents missing from a client record
Credentialing Data Analyst Jobs
By Ohm Systems, Inc. At Baton Rouge, LA, United States
Location: Baton Rouge, Louisiana 70810 (Remote)
·Assist managers with process improvement as necessary.
·Assist managers with project planning related to contracting and credentialing workflow processes.
·Excellent written and verbal skills.
·EXCELLENT WRITTEN AND VERBAL COMMUNICATION SKILLS
·Serving as the point of contact regarding submitted application for Corporate Credentialing.
Credentialing Coordinator Jobs
By LanceSoft, Inc. At Baton Rouge, LA, United States

Excellent written and verbal skills.

Proficiency in Microsoft Office, Excel and Access.

Coordinator, Credentialing (Nps) Jobs
By DaVita Kidney Care At Chandler, AZ, United States
Award-winning education and training across multiple career paths to help you reach your potential.
A comprehensive benefits package designed to enhance your health, your financial well-being and your future.
Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
A "community first, company second" culture based on Core Values that really matter.
Clinical outcomes consistently ranked above the national average.
Performance-based rewards based on stellar individual and team contributions.
Credentialing Coord Sr Jobs
By One Call At Jacksonville, FL, United States
Typically requires a minimum of 3 years of experience performing hands on Credentialing Cycle Management experience.
Excellent problem solving, time management, and work prioritization skills.
General Knowledge, Skills & Abilities
Manage and maintain continuing medical education records for practitioners/providers.
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Clerical office, data entry, e-filing, and customer interfacing/communication experience required (preferably in a healthcare setting).
Manager Delegated Credentialing Jobs
By One Call At Jacksonville, FL, United States
Educational, Certification And Experience Requirements
2+ years Delegated Credentialing experience (in a Healthcare Organization or hospital credentialing setting) with at least 2 years Credentialing Management experience
Certification by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM), or Certified Provider
General Knowledge, Skills & Abilities
Maintain working knowledge of regulatory credentialing requirements.
Collaborate effectively with key internal and external stakeholders, including clients, compliance/legal, account management/client success, and other matrix partners, as applicable.
Credentialing Manager Jobs
By PsychPlus At United States
Excellent organizational and time management skills, ability to multitask, high attention to detail, and follow-up skills
Monitoring of all Clinician expirables to include: licenses, board certifications, professional liability insurance, hospital privileges, and payer revalidations
Minimum of 3 year’s experience in within a Credentialing or Payer Enrollment Coordinator
Provider Group or Health Plan experience required
Experience in healthcare credentialing across Behavioral Health specialties is strongly preferred
Ability to organize and prioritize work and manage multiple priorities simultaneously to meet deadlines
Credentialing Coordinator Jobs
By hims & hers At United States
Manage, resolve, or escalate credentialing related support issues through ZenDesk. Identifying common themes and developing processes to improve the provider experience.
Audit and verify compliance with NCQA and state level requirements for providers to practice.
Must demonstrate exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed.
Excellent computer skills including Excel, Word, Google Suite, and Internet use.
Mental health & wellness benefits
Own agreement workflows with all contracted providers ensuring new applications/licenses are recorded accurately in the credentialing database.
Credentialing Manager Jobs
By Mindful Care At West Hempstead, NY, United States
Certification in credentialing or healthcare quality management (e.g., CPCS, CPMSM) is a plus
Strong knowledge of credentialing standards, regulations, and best practices, including delegated credentialing requirements
Manage the end-to-end credentialing process for all behavioral health providers, including physicians, advanced practice providers (APPs), therapists, and other clinical staff
Collaborate with internal departments and external organizations to obtain and verify provider credentials, licenses, certifications, and insurance information
Maintain accurate and up-to-date provider files, ensuring compliance with all regulatory requirements and accreditation standards
Conduct thorough background checks and primary source verifications for all providers, including education, training, work history, malpractice claims, and professional references
Credentialing Associate Jobs
By AbleTo Inc. At United States
Producing management reports regarding status of therapist community
Data entry into multiple platforms
Bachelor’s degree or equivalent work experience preferred
Excellent written and verbal communication skills
Tracking expirable documents such as licenses and malpractice insurance and working with therapists to obtain updated documents
Preparing notification letters and sending to therapists based on determinations made by the team
Credentialing Coordinator Jobs
By Diverse Lynx At New York City Metropolitan Area, United States

Purpose of Position: Metroplus Health Plan is seeking an individual to join our Provider Services team in the capacity of Credentialing Coordinator. The responsibilities of this position include but ...

Credentialing Coordinator Jobs
By Palm Health Resources At Miami-Fort Lauderdale Area, United States
Strong Microsoft Office skills and experience with a CRM/ATS database.
2 + years’ experience with medical credentialing processes.
Excellent interpersonal, written, verbal and presentation skills with the ability to communicate and discuss information in a professional and sensitive manner.
Strong organizational, critical thinking and problem-solving skills.
Detail-oriented with solid follow up skills.
This is a 100% REMOTE full-time position.
Credentialing & Enrollment Liaison Jobs
By Privia Health At United States
Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing.
Must be able to function independently, possess demonstrated flexibility in multiple project management
Works with care centers to obtain updates to licenses, certifications, and certificates of insurance and ensures timely renewal for the same.
2+ years healthcare experience working with providers and care center staff
Demonstrated skills in problem solving and analysis and resolution
High level of attention to detail with exceptional organizational skills

Are you looking for a job that will challenge you and give you the opportunity to make a real impact? Look no further! We are looking for a Manager of Credentialing to join our team and help us ensure that our healthcare providers meet the highest standards of quality and safety. You will be responsible for overseeing the credentialing process, ensuring compliance with applicable regulations, and providing guidance and support to our providers. If you are an experienced professional with a passion for excellence, this is the job for you!

What is Manager Credentialing Job Skills Required?

• Knowledge of credentialing and privileging processes
• Ability to analyze and interpret data
• Excellent organizational and communication skills
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite
• Knowledge of relevant laws and regulations

What is Manager Credentialing Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or related field
• Previous experience in healthcare credentialing and privileging
• Certification in healthcare credentialing (preferred)

What is Manager Credentialing Job Knowledge?

• Knowledge of healthcare credentialing and privileging processes
• Knowledge of relevant laws and regulations
• Knowledge of healthcare accreditation standards
• Knowledge of healthcare organizations and their operations

What is Manager Credentialing Job Experience?

• Previous experience in healthcare credentialing and privileging
• Experience working with healthcare organizations and their operations
• Experience with data analysis and interpretation

What is Manager Credentialing Job Responsibilities?

• Develop and maintain credentialing and privileging processes
• Monitor and review applications for credentialing and privileging
• Ensure compliance with relevant laws and regulations
• Analyze and interpret data related to credentialing and privileging