- UpvoteDownvoteShare Job
- Suggest Revision
This position is responsible for processing provider application for network entry and reappointment, including primary source verification of providers credentials according to Plans policy, NCQA standards and regulatory requirements, conduct site visits at provider offices for credentialing and re-credentialing, and maintain providers credentialing records between credentialing cycles.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Professional certification preferred, such as Certified Professional Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS). Experience working with medical staff bylaws, regulatory standards, credentialing procedures and accreditation standards of The Joint Commission and National Committee for Quality Assurance (NCQA.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Certification as Certified Provider Credentialing Specialist (CPCS) preferred. 22, NCQA, NPDB, and certifying agencies. Collaborates with professional physician recruiters to monitor recruitment status of candidates to ensure timely credentialing prior to employment.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Monitor monthly/quarter/annual data submissions by working closely with Delegation Oversight and Credentialing team members to design auditing plans meeting regulatory requirements per state and federal requirements (DHCS/DMHC/NCQA/CMS) as needed.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
I.e., Credentialing and Provider Data Management workflows. Experience with provider databases and provider data management. Knowledge of payer, provider and employer contracts including various payment alternatives such as fee-for-service, capitation, global budget and performance compensation.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Competency in a paperless computer environment and understanding of provider data integrity standards (credentialing software, MS Office suite, Adobe Professional, document scanning/storage, web-based applications and tools, etc.
$24.28 - $37.88 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Tracked and followed up with Provider Primary Source Verification (PSV) and coordinated with the Credentialing Verification Organization (CVO). Participate in credentialing delegation audits, as requested by the Manager, with selected provider groups and subcontracted vendors.
ExpandUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Joint Commission Accreditation Hospital Organizations (JCAHO) and National Committee Quality Assurance (NCQA) accreditation standards relating to medical staff organization, credentialing and recredentialing; privileging; and the responsibility of Credentialing Verification Organizations (preferred.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Certified Provider Credentialing Specialist (CPCS) preferred. The Credentialing Coordinator is responsible for all aspects of the initial credentialing, re-credentialing and privileging functions for all clinicians on medical and allied health staff at the VCU Health System Hospitals.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Certified Provider Credentialing Specialist (CPCS) designation. GTT is seeking a dedicated Credentialing Specialist to join our Healthcare Staffing Practice team. Familiarity with Joint Commission, NCQA, and other relevant accreditation and standards.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Certified Professional in Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred. The Credentialing Specialist is accountable for performing duties related to the sending, receiving, processing, and primary source verifying applications for initial and reappointment and their related clinical privileges.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Certified Provider Credentialing Specialist certification (CPCS) by National Committee for Quality Assurance (NCQA), preferred. This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Must have six (6) years of expert level Medical Staff Professional Services experience in hospital setting, clinical practice, or managed care that is related to healthcare administration programs such as privileging, credentialing, peer review, professional performance evaluation, quality improvement/assurance, provider education, legal and compliance, risk management/prevention or internal/regulatory audit is required.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Credentialing Coordinator is responsible for processing and completing the credentialing and re-credentialing functions of all providers by NCQA, state, and federal requirements.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Current Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Staff Management (CPMSM) with the National Association of Medical Staff Services is preferred.
Full-timeExpandApply NowActive JobUpdated 8 days ago
provider credentialing ncqa jobs
FEATURED BLOG POSTS
How to Dress on the First Day of Work (Men & Women)
You did it! Out of hundreds of applicants and dozens of people interviewed, you’re the one who got a new job. Congrats! Now comes the question of how to dress on the first day of work.
Why College Students Should Work While in College?
College is a special part of our lives. It’s a time when we prepare for our dream job while creating some of the most memorable moments in life. That said, college life can also be stressful. Not only do we have to spend long hours studying, writing and researching, but we also have to deal with increased tuition fees and living expenses.
5 Ways to Measure Candidate Experience
Your candidate experience is made up of 4 essential parts
How to Stall a Job Offer Politely
You did it! After several weeks of looking for a new job and undergoing grueling interviews, you finally have a job offer. Although this may be very exciting, accepting a job offer means that you’re making a long-term commitment to your future employer. So, even if you’re eager to leave your current job, this isn’t a decision you should take lightly.
How to Get a Job in a New City - Best Tips to Follow
When your dream job posts, will you be ready? What if that dream job was in a faraway city or a different continent…would you move for it? Most of us have dreamed about what it would be like to accept a job in a new place at one time or another. But when it comes to actually making a move, it’s usually the logistical details that give us pause. The key to job searching in a different location is to have a plan.
What is a Policy of Non-Retaliation & How to Create One
Your company probably has many policies in place – anti-discrimination policies, equal opportunity policies, ethics policies, and so on. However, it is important to re-evaluate whether you have a policy that covers every situation. Say for instance one of your employees submit a complaint in good faith to their supervisor. To their surprise, they are met with retaliation, such as demotion, defamation, or even termination.
When to Tell Your Boss You're Job Searching
The Bureau of Labor Statistics has found that individuals, on average, have 12.4 jobs throughout their working life. So regardless of where you are on the career ladder, it’s inevitable that at some point, you’ll begin looking for another job. That said, you might be wondering,