Senior Credentialing Specialist - Provider Compliance
Memorial Hermann
A leading health care system in Houston is seeking a System Credentialing Coordinator responsible for coordinating credentialing and re-credentialing of physicians and providers. Key responsibilities include implementing procedures, processing applications, and serving as a liaison during credentialing. Candidates should have three years of credentialing experience, strong analytical, and communication skills. This is a full-time role offering competitive benefits and the opportunity to contribute to the health care community. #J-18808-Ljbffr Memorial Hermann
- Memorial Hermann Health System in Houston seeks a Senior Credentialing Specialist to coordinate credentialing activities for physicians and providers, ensuring compliance with regulatory and accrediting standards. The role reports to the Manager of Credentialing and requires...SeniorWork at officeRemote work
- ...and PECOS portal) Job Description The Senior Credentialing Specialist is responsible for the coordination... ...re-credentialing of physicians and providers. The position will be responsible in... ...analytical skills with the ability to assess compliance, record, analyze, and interpret data...SeniorWork at officeLocal areaRemote work
- Senior PsychCare in Houston, TX is seeking a Credentialing and Enrollment Specialist to manage provider credentialing, re-credentialing, and payer enrollment using the Medallion platform. This role ensures that healthcare providers are properly credentialed and enrolled...Suggested
- St. Joseph Health is seeking a Credentialing Professional to coordinate credentialing, re-credentialing, and payer enrollment for providers in accordance with delegated credentialing agreements, policies and procedures, industry best practices, and regulatory requirements...SuggestedWork at officeRemote work
- ...Credentialing SpecialistWe are seeking a detail-oriented Credentialing Specialist with 2 to 5 years of experience in a healthcare or health plan setting. In this role, you... ...-to-end credentialing operations, oversee provider data within Medallion, prepare detailed summaries...Suggested
- ...critical care and the largest provider of cardiovascular care in... ...including primary care physicians specialists and advanced practice... ...Summary and Responsibilities As a Credentialing Professional, you will be... ...tasks to ensure provider compliance and efficient operational flow...Work at office
- ...Credentialing and Enrollment Specialist (Medallion Platform)Credentialing and Enrollment Specialist (Medallion... ...Houston, TX 77027Senior Psych Care provides fully integrative behavioral health... ...resolve delays or discrepanciesEnsure compliance with regulatory standards, payer...
- ...family! Jump-start your career as a Credentialing Specialist I today with Parallon. Schedule: Monday... ...new and established health care providers, and maintenance of information to include... ...hospitals within established levels. Compliance with HMA policy and procedure,...Temporary workWork at officeRemote workMonday to FridayFlexible hours
- Description Credentialing and Enrollment Specialist (Medallion Platform)- Houston, TX 77027 About Us: Senior Psych Care provides fully integrative behavioral health services to the long-... ...resolve delays or discrepancies Ensure compliance with regulatory standards, payer...Temporary workWork at office
- USPh (U.S. Physical Therapy) is seeking a Provider Enrollment Specialist to join our Managed Care Operations team. The role focuses on accurate... ...environment. The ideal candidate will have 3-5 years of credentialing experience, strong CAQH knowledge, and excellent organizational...Remote job
$77k - $202k
...SectorSpecialismBenefitsManagement LevelSenior AssociateJob Description & SummaryThe OpportunityAs a Health Actuary Consultant- Payer/Provider- Senior Associate you will contribute to strategic, analytic, and technical support for payer and provider clients as they respond to...SeniorFull timeH1b$22.51 - $31.79 per hour
...Overview The role verifies the credentials of physician and allied health professional applicants and re-applicants, and prepares candidates for review by the appropriate clinical Service Chief and Medical Staff Committees. Responsibilities Verify the credentials of physician...- Parallon, a part of HCA Healthcare, seeks a Credentialing Processing Center Specialist II to safeguard patient well-being by ensuring verified credentials... ...guidelines and coordinating with a wide network of providers and stakeholders. The ideal candidate has 5+ years in...Remote job
- ...working for one of the world’s largest providers of products and services to the global energy... ...to customer's chemical regulatory compliance questions. Obtains regulatory and chemical... ...Coordinator, HSE Tech Professional, or Senior HSE Tech Professional. World Class...SeniorFull timePart timeSecond jobWork at officeWork from home
- ...invests in you as a Quality Audit Specialist II? At Parallon, you come... ...and Qualifications The Credentialing Processing Center Specialist... ...Reviews, Specialist Reviews, and Compliance Reviews, that supports... ...medical and allied healthcare providers, upholding the highest standards...Temporary workWork experience placementRemote workFlexible hours
- HCA Healthcare's Parallon is seeking a Credentialing Specialist I to support our Credentialing Processing Center. You will handle primary source... ...review across select HCA hospitals, ensuring CPC policy compliance and timely processing. Qualifications include an associate...Remote work
- ...? GHD has an outstanding opportunity for an experienced Senior Federal Compliance Specialist to join our growing organization. If you are interested... ...Accounting Standards (CAS)Working closely with operations to provide pricing on proposals and ensuring compliance with...SeniorFor contractorsLocal area3 days per week
- ...Senior Associate Attorney Minimum Requirements: Minimum of 4 years of experience in commercial finance law. Strong attention... ...: Conducting legal research. Drafting and negotiating transaction documents. Providing advice on regulatory compliance matters. #J-18808-Ljbffr...Senior
$98.25k - $163.75k
...Are you an experienced controls and compliance professional who can set clear... ...accountabilities? We’re seeking a Senior Controls & Compliance Specialist to lead the definition, alignment and... ...readiness and the policy framework, and provide clear reporting on compliance...Senior$21 - $25 per hour
...Job title: Credentialing Specialist – Hospital Privileging Location (city, state): Houston, TX... ...experience who enjoys reviewing complex provider applications, identifying... ...and recredentialing regulations and compliance requirements. ~ Strong attention to...Contract workLocal areaRemote workMonday to Friday$55k - $75k
...Sungrow North America is a leading provider of renewable energy solutions... ...the vendor operations and compliance team to address any gaps, and... ...Compliance & Escalation Specialist focuses on audit execution and... ...Generate regular reports for senior management, including key findings...SeniorContract workWork at officeRemote work$96.8k
JOB REQUISITIONLegal, Risk & Compliance - Investigations & Forensic Senior ConsultantLOCATIONHOUSTONADDITIONAL LOCATION(S)ATLANTA - PEACHTREE RD, AUSTIN... ...TAMPAJOB DESCRIPTIONYou Belong Here The Protiviti Career provides opportunity to learn, inspire, and advance within a...SeniorFull timeTemporary workLocal areaRemote workFlexible hours- ...Senior Actuary Houston, Texas, United States Requirements: ~3 to 8 years' experience... ..., ensuring profitability and regulatory compliance. Analyze complex datasets to forecast trends, assess liabilities, and provide actionable insights. Evaluate potential...Senior
- ...The University of Houston System is seeking a senior member of the Gift and Estate Planning team, providing expertise in deferred and complex gift matters and guiding donors through lifetime and deferred gift arrangements. You will collaborate with finance, legal and advancement...Senior
- ...'s Global Business Services is seeking a Senior Payroll Specialist to support global time and attendance processes and ensure compliance with labor laws across a multinational environment... ...) testing, develops documentation, and provides post-go-live support. You will train end...Senior
- ...Giga Energy is seeking a Customs Declaration Logistics Specialist to own inbound customs declarations for all goods entering the company. You will manage ACE filings, HTS classifications, and duties, coordinating with brokers, suppliers, carriers, and legal counsel to...Senior
- TRC is seeking a full-time Pipeline Regulatory Consultant to join our Pipeline Regulatory Services team. The successful candidate will interact with clients and lead or assist with a wide variety of regulatory services. The ideal candidate must have strong pipeline regulatory...SeniorFull time
- ...Houston is seeking a Risk Adjustment Coding Specialist II to drive risk adjustment efforts through chart reviews, provider education, and KPI reporting. You’ll translate... ...have 3-5 years in risk adjustment, CPC/CRC credentials, travel up to 75%, and strong communication...Senior
- A leading health care provider in the United States is seeking a Coding Compliance Auditor to ensure the accuracy and completeness of clinical coding. This mid-senior level position involves conducting coding audits, coordinating educational sessions forcoding staff, and...SeniorFull time
- Core Laboratories Inc. is seeking a Corporate Paralegal to provide comprehensive legal and administrative support to the General Counsel... ...Department in Houston. You will assist corporate governance, compliance programs, transactional matters, and multi-jurisdiction entity...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Credentialing Specialist - Provider Compliance. Be the first to apply!
- senior vice president communications Houston, TX
- senior infrastructure analyst Houston, TX
- senior fpga design engineer Houston, TX
- senior specialist Houston, TX
- senior executive director Houston, TX
- senior security specialist Houston, TX
- senior advisor Houston, TX
- senior tax associate Houston, TX
- international tax senior Houston, TX
- senior sales Houston, TX




