Senior Credentialing Specialist: Medicare/Medicaid
Onco360
Onco360 Oncology Pharmacy seeks a Senior Credentialing Specialist in Louisville, Kentucky. This role involves managing Medicare and Medicaid enrollments and ensuring compliance with licensing requirements while maintaining operational data. The ideal candidate will possess an Associate's Degree and three years of experience in pharmacy and healthcare enrollment processes. Benefits include medical, dental, vision, and 401(k) matching. #J-18808-Ljbffr
- ...Onco360 is looking for a Senior Credentialing Specialist to work in our Louisville, Kentucky office. This hybrid role is essential in ensuring... ...pharmacies are credentialed with payers, including Medicare and Medicaid. The candidate will have a significant impact within our...SeniorWork at office
- ...Position: Senior Credentialing Specialist Location: Louisville, KY Job Id: 5186 # of Openings: 1 Onco360 is looking for a Senior... ...credentialed for all payers, including but not limited to Medicare (PECO system), State Medicaid, PBM, Medicare D and Commercial payers. Maintain...SeniorTemporary workWork at officeImmediate start
$75.4k - $165.95k
...communication skills to support, manage and develop and execute Medicare and Medicaid compliance programs and processes that promote compliant and... ...independently, as well as collaboratively, with internal senior level corporate compliance and business teams that operate...SeniorHourly payFull timeContract workTemporary workWork experience placementLocal area- ...Credentialing Specialist Responsible for managing the complete enrollment and revalidation lifecycle for healthcare providers with federal... ..., re-enrollment, and revalidation applications with Medicare, Medicaid, and commercial health plans. Maintains thorough documentation...SuggestedTemporary work
- ...responsible for performing background checks, organizing credentialing documentation, gathering information in relation to on-boarding... ...medical office. ~2+ years of credentialing experience; Medicare and Medicaid a plus. ~ Requires flexibility to move within different...SuggestedWork at office
$86.3k - $118.7k
Humana Inc. is seeking a Senior Financial Reporting Professional located in Louisville, KY. This role involves preparing and distributing financial statements while ensuring compliance with regulations. Ideal candidates will have over 5 years of experience with large data...SeniorWork at office- Overview Senior Technology Leader • Louisville, Kentucky Responsibilities This IT leadership role oversees the entire technology... ...are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities...Senior
$13.5 per hour
...our healthcare team. You will utilize your customer service and data entry skills to assist with claims adjudication and provider credentialing, supporting customers through various communication methods. The position offers a competitive rate of $13.50/hr plus incentives...Remote work$206.11k - $283.4k
Pace Industries, LLC in Louisville, Kentucky is seeking a Sr. Principal Software Engineer to lead the design and development of software applications for space systems. This role demands over 15 years of experience with extensive expertise in multiple programming languages...Senior$86.3k - $118.7k
...Become a part of our caring community The Senior Financial Reporting Professional... ...external financial reporting needs for various Medicaid states. Work assignments are of... ...better quality of life for people with Medicare and Medicaid, families, individuals, military...SeniorFull timeTemporary workApprenticeshipWork at office$110k - $115k
PPGNHAIK is seeking a Senior Philanthropy Officer for planned giving initiatives, based in Indianapolis or Louisville. This role will manage a portfolio of principal donors, develop strategies for securing major gifts, and collaborate across departments to achieve fundraising...Senior- AFL Autism Services: Adapt for Life is seeking a Billing/Credentialing Specialist responsible for managing billing for ABA therapy services. This full-time role involves working with insurance companies and clients to ensure accurate claims submission and reimbursement...Full time
$60k - $70k
...ADR & Reimbursement Compliance Specialist A growing multi-state healthcare organization... ...from Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed... ...claims Strong knowledge of Medicare, Medicaid, and Managed Care regulations...Full timeFor contractorsWork at office$107.33k - $137.86k
A leading biotechnology company in Louisville, KY is seeking a Specialist in Supply Chain Compliance. In this role, you will manage deviations, support audits, and ensure supply chain compliance. Candidates should have a Doctorate or equivalent experience in Supply Chain...Senior- A leading biotech pharmaceutical company is seeking a Sr Associate Supply Chain Compliance to manage temperature excursions and deviations. This hybrid role involves collaboration with quality and external partners to ensure compliance with Good Distribution Practice (GDP...SeniorHourly pay
- ...Management Coordinator / System User Credentialing Specialist Onsite - Louisville, KY Office... ...internal security protocols and CMS/Medicare compliance standards for system access... ...Healthcare) Payer portals (Medicare, Medicaid, UHC, BCBS) Billing/claims management...Full timeWork at officeMonday to Friday
$106.9k - $147k
...Become a part of our caring community The Senior Cloud Solutions Engineer supports the development and execution of Humana'... ...efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and...SeniorFull timeTemporary workFor contractorsApprenticeshipRemote workWork from homeHome officeShift work$97.9k - $133.5k
...Become a part of our caring community The Senior Business Information Architect is a key contributor responsible for establishing... ...are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and...SeniorBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office2 days per week$90k - $121.3k
...Senior Compliance Advisor Wealth/Trust Job Locations US-IL-Chicago | US-IN-Indianapolis | US-IN-Evansville | US-KY-Louisville | US-TN-Nashville | US-MN-Saint Paul | US-WI-Milwaukee Category/Function Risk/Security Position Type Regular...SeniorFull timeWork experience placementWork at office- ...KY | Type: Full-Time, On-site | Experience: 3+ Years (Mid-Senior) Firm Overview We are a high-octane, trial-ready plaintiff... ...summarize records and aggressively negotiate health insurance, Medicare, Medicaid, and provider liens. Demand Generation: Draft compelling,...SeniorFull time
- ...and provide guidance and direction to Senior CommUnity Care providers ensuring the... ...pharmacy and therapeutics, peer review, credentialing, and physician leadership issues.... ...delivery and financing systems, including Medicaid, Medicare, waiver programs, prospective and capitated...SeniorShift work
$90k - $121.3k
Old National Bank is looking for a Senior Compliance Advisory Services Officer to lead compliance efforts within our Wealth Division. This senior role includes advising on regulatory matters and ensuring implementation of the Corporate Compliance Program. Required qualifications...Senior$75k - $85k
...The Healing Place is seeking a Clinician Level 4 in Louisville, KY, to provide advanced clinical oversight and supervision. This senior role involves shaping clinical practice, supporting program development, and ensuring compliance within THP’s recovery model. Required...Senior- UofL Health, Inc. is seeking a Manager for Specialty Pharmacy Services at UofL Hospital located in Louisville, Kentucky. The role involves providing strategic leadership, overseeing operational functions, and ensuring compliance with accreditation standards. The ideal ...Senior
$168k - $240k
...their desired business outcomes. We accelerate the growth of more impactful work and the evolution of Slalom. The Role: M&A Principal/Senior Principal The Role: M&A Principal/Senior Principal What You’ll Do: Delivery areas include: Executing operational due diligence...SeniorTemporary workWork at officeLocal area- ...patient education, care plan evaluation, and assisting with discharge planning. Required qualifications include an Associate Degree and a Registered Respiratory Therapist credential. The position offers tuition assistance and relocation support as perks. #J-18808-Ljbffr...SeniorRelocation package
$125.3k - $187.9k
...warfighter. Come be a part of our mission! Northrop Grumman Mission Systems in Woodland Hills, CA is currently seeking a Principal or Senior Principal Signal/Image Processing Engineer with a current/active Top Secret clearanceto support sensor exploitation activities in...SeniorFull timeRelocation packageShift work- A prominent healthcare institution in Louisville is seeking a qualified Radiologic Technologist. Responsibilities include performing radiographic examinations, ensuring patient safety, and assisting physicians. Candidates must have a JRC approved degree in Radiologic Technology...Senior
$50k - $60k
Confidential Posting - Documentation & Claims Specialist (SNF/LTC) A growing multi-state... ...from Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and Managed... ...Strong working knowledge of Medicare, Medicaid, and Managed Care billing practices. Experience...Full timeFor contractorsWork at officeFlexible hours- ...living while you make a difference at Trilogy Health Services – a senior living provider with the continuous goal of being the Best... ...responsible for the preparation of, and personally prepares, Medicaid/Medicare cost reports, accrual and rate analyses for campuses and...SeniorWeekly payInterim roleWork at officeLocal areaWork from homeHome office
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