PBM Credentialing Manager - United States

The Credentialing Manager leads the end to end credentialing, privileging, and payer enrollment function for the Managed Service Organization. This role ensures timely, compliant provider onboarding while maintaining high standards of operational accuracy, audit readiness, and se ...

· About us · Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopa ...

Oversee end-to-end credentialing and recredentialing for all outpatient providers Manage credentialing staff and external vendors; provide training and performance management Ensure compliance with CMS NCQA Joint Commission and payer standards Maintain and optimize credentialing ...

This position supports management in all aspects of credentialing and re-credentialing processes for organizational providers. · The Revenue Integrity Credentialing Analyst requires working knowledge of the Revenue Cycle and evaluates information between providers and health plan ...

+Job summary · Responsible for obtaining and verifying all required and pertinent credentialing and recredentialing documentation.++Minimum Education: High School Diploma or GED. · Licensure, Registration and/or Certification: None. · ++EEO Protected Veterans/Disability · ...

Responsible for obtaining and verifying all required and pertinent credentialing and recredentialing documentation. · ...

Location · New York, New York · Shift: · Day (United States of America) · Description: · NewYork-Presbyterian Hospital: The University Hospital of Columbia and Cornell Behind every patient success story - before every clinical breakthrough - stands the unparalleled team of profes ...

Location · New York, New York · Shift: · Day (United States of America) · Description: · Project Coordinator- Medical Staff Office · Position Summary · Coordinates projects, meetings, credentialing documentation and reports related to the MSO credentialing and privileging proce ...

The Medical Staff Credentialing Coordinator serves as an essential link and resource between the medical staff and hospital management to coordinate the operational processes and medical staff governance functions of the medical staff. · ...

Breakaway Group is a premier multimedia company for entertainment and music festivals operating the largest independent touring music festival in North America spanning 14 cities over 9 months. · ...

Vista Staffing is seeking a Family Practice Nurse Practitioner for a locum tenens opportunity in Southern Maine. · ...

The Credentialing Specialist is responsible for coordinating and processing all aspects of healthcare provider credentialing to ensure compliance with internal policies hospital partner requirements and regulatory standards. · This role supports both initial and ongoing credentia ...

Symmetry Anesthesia is hiring an experienced Credentialing Specialist to own end-to-end provider credentialing and privileging for anesthesiologists and CRNAs across multi-site hospital and ASC programs. · ...

The Credentialing Specialist is responsible for managing credentialing and re-credentialing processes for all providers in compliance with NCQA,state,and federal regulations. · Validate completeness of provider applications prior to processing. · Perform primary source verificati ...

We are seeking a highly motivated and detail-oriented Medical Provider Credentialist to join our dynamic healthcare team. · In this vital role,you will oversee the credentialing and privileging processes for a diverse range of medical providers ,ensuring compliance with industry ...

+Job summary · We're committed to being your Company of Choice · The Chief Cook is responsible for a smooth and professional running vessel galley operation in accordance with the company rules and regulations.+Food preparation, food service and cleaning procedures for all galley ...

As a Credentialing Coordinator, you will be responsible for verifying and maintaining records of practitioners' credentials and ensuring compliance with applicable standards and regulations. · ...

The Credentialing Specialist is responsible for managing the end-to-end credentialing and recredentialing process for healthcare providers within the Revenue Cycle Management (RCM) framework. · ...

Responsible for performing sleep studies and related polysomnographic evaluations. · ...

We are looking for a Credentialing Consultant to collaborate with the Practice Managers, Staffing Account Managers, and other internal Sound Physicians stakeholders to support our clinician credentialing workflows. · Understands national, state, and market dynamics in the clinici ...