Senior Credentialing & Peer Review Leader
Alameda Alliance
Alameda Alliance in California seeks a Sr. Manager, Peer Review and Credentialing to oversee credentialing for physicians and allied providers, supervise staff and vendors, and ensure compliance with NCQA, CMS, DHCS and DMHC standards. You will conduct audits, manage annual credentialing reviews, collaborate with the Chief Medical Officer, develop policies, and monitor budgets while maintaining confidentiality of provider information. #J-18808-Ljbffr Alameda Alliance
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Credentialing & Peer Review Leader in Alameda, CA vacancy
- Alameda Alliance seeks a Sr. Manager, Peer Review and Credentialing to oversee credentialing for physicians and providers. Youll supervise staff, coordinate with vendors, and ensure compliance with NCQA, CMS, and related agencies across credentialing processes. Youll lead...Senior
$181.34k - $272.01k
...OR). PRINCIPAL RESPONSIBILITIES: Under the supervision of the Executive Director Network Operations, the Sr. Manager, Peer Review and Credentialing is responsible for oversight and administrative management of the Alameda Alliance credentialing process for physicians,...SeniorWork experience placementLive inWork at officeLocal area- Purple Land Management is looking for a skilled Landman | Reviewer in Emeryville, California. This role requires expertise in title research and the ability to review the work of fellow landmen to ensure quality and consistency. The ideal candidate will have at least 5...SeniorWork at office
- PMA Consultants is seeking a Senior Construction Claims Analyst to support complex claims and dispute resolution efforts across major capital programs. The role involves leading claims strategy, forensic schedule analysis, and cost evaluations for public and private clients...Senior
- Abbott is seeking a Senior Manager, Quality Systems to ensure the effectiveness of the quality system and compliance with LRGS. This on-site role in Alameda, CA drives process rigor, coordinates between functions, and implements a scalable quality structure across Abbott...Senior
- Abbott Laboratories in Alameda, CA, is seeking a Senior Project Leader to join the PMO for data sharing features and partner integrations on the FreeStyle Libre platform. You will lead cross-functional teams and manage internal/external stakeholders to advance the portfolio...Senior
- Grocery-Outlet in Emeryville, CA seeks a Sr. Director, HRBP for Corporate Functions to shape and execute the end-to-end people strategy that drives performance across core functions. This role balances strategic partnership with hands-on execution and reports to the VP,...Senior
- Powerback Rehabilitation is seeking a licensed Director of Rehab PT with SNF leadership experience. The role involves managing rehab services across multiple sites in the East Bay, direct patient care, and ensuring high-quality, compliant care. Travel to facilities is required...SeniorVisa sponsorshipRelocation package
- ...regulations. *A Biller/Collector is responsible for the following: Reviewing, correcting, and completing billings to ensure complete and... ...all aspects of billing greater than an Office Assistant III and Senior Collections Rep I. Note: This requirement applies only to UCSF...SeniorContract workWork at office
$34.91 - $41.06 per hour
...residents. We are more than a job for employees. Job Summary The Senior Community Manager (SCM) ensures the efficient and safe... ...other inspections (including INSPIRE, MOR and annual audit) by reviewing pertinent checklists and forms and ensuring that all requested...SeniorHourly payFull timeWork at officeLocal area$51.5 - $56 per hour
...and VA Space Equipment Planning System (SEPS) documentation. Review contractor submittals, shop drawings, finish samples, mockups,... ...satisfy all additional federal, VA, and facility-specific credentialing requirements. Must be able to successfully pass a drug test...SeniorHourly payFull timeContract workTemporary workFor contractorsLocal areaRelocation$219.98k - $284.68k
...address real-world production challenges under tight deadlines.Leadership & Publication: Lead research projects, publish results in peer-reviewed journals (e.g., SIGGRAPH), and maintain Pixar’s presence in the global research community.Strategy: Stay current on emerging...SeniorFull time- A leading procurement firm in California is seeking a Sr. Procurement Specialist responsible for executing purchasing strategies and managing significant purchase orders. This role requires strong communication and problem-solving skills, proficiency in spreadsheet programs...Senior
- GeneFab is seeking an experienced QC Analyst to join its Quality Control Analytical group in support of GMP QC testing, method transfer, qualification, troubleshooting, and investigations. You will lead investigations, develop SOPs, and collaborate across MSAT, ASAT, and...Senior
- 5Amventures seeks an experienced, highly quantitative scientist to lead bioanalytical strategy and quality control across a diverse portfolio of peptide, protein, and small molecule therapeutics. This role will define analytical approaches, oversee external CROs, and ensure...Senior
- AVEVA is seeking a Senior Manager of Public Relations for the Americas to lead earned media in the region, with a focus on California and the San Francisco Bay Area. You will partner with global and regional teams to design integrated PR plans, manage agencies, and deliver...Senior
- MTM LLC in Hayward, CA seeks a Show & Event Manager to lead a growing events team and drive customer engagement through live experiences. You will develop strategy, manage budgets, and partner with sales to align events with revenue goals. The role requires 4+ years in ...SeniorLocal area
- University of California - San Francisco is seeking a Sr. Collections Representative Lead to manage billing and collections with advanced knowledge of government payer processes. The Lead trains staff, monitors backlogs, and handles complex accounts using EPIC, CIRIUS, ...Senior
- Energy and Environmental Economics, Inc. seeks an Associate Director for its transmission projects based in California. This role involves leading strategy engagements for utilities, ensuring successful project delivery, and coordinating with stakeholders. The ideal candidate...SeniorFlexible hours
- UCSF Health in Emeryville is seeking a Sr. Collections Representative Lead who oversees billing and collections, trains staff, and handles complex government payer accounts. The role combines hands-on billing, backlog monitoring, and project work in a busy hospital setting...Senior
- Penumbra, Inc. in Alameda, CA, seeks a Sr. Medical Education Program Specialist to lead medical education programs for neurovascular products. You will plan, execute, and manage logistics and on-site activities, coordinating with sales, faculty, and vendors while ensuring...Senior
- Foundry Robotics in Emeryville, CA seeks a senior recruiter to own end-to-end hiring for mechanical, manufacturing, process, test, and quality engineering. You will decompose roles into measurable skills, train interviewers, and manage staffing agency partnerships to ensure...Senior
- Kaiser Permanente seeks an Area Finance Officer to lead the financial strategy for the San Leandro and Fremont Medical Centers, aligning clinical, operational, and organizational priorities. This executive role partners with center leadership, physicians, and regional teams...Senior
- First 5 Alameda County is seeking a hands-on Communications Manager to own the agency's social media presence and newsletters, crafting copy, graphics, and short-form video to tell our story to families and partners. You will develop platform-native content, manage an editorial...Senior
- Abbott in Alameda, CA is seeking a Sr. Quality Specialist to drive complex quality and regulatory initiatives impacting patient safety and business operations. You will lead complaint assessments, regulatory reporting decisions, and submissions such as MDRs, MedWatch, and...Senior
- Abbott in Alameda, CA seeks a Senior Project Leader to drive data sharing initiatives and partner integrations for the FreeStyle Libre platform. You will lead cross-functional teams and external partners in delivering complex programs from planning through execution. The...Senior
- Natel Energy, an Alameda, California-based provider of high-performance hydraulic turbines, is seeking a Senior Manager (or Associate Director) of Public Affairs to drive growth across North America and Europe. You will bridge policy research, regulatory engagements, and...Senior
- Murray Company is seeking a Quality Assurance Quality Control Manager to lead the QA/QC program across regional offices and job sites in Northern California. You will champion continuous improvement, ensure compliance with code requirements and SOPs, and mentor staff to...SeniorLocal area
- Jobot in Emeryville, CA is seeking a Senior BIM/Revit Lead to drive 3D modeling and construction documentation for large-scale projects. You will lead BIM coordination, mentor staff, and collaborate across disciplines to meet schedule, budget, and quality goals. Hybrid...SeniorWork at office
- Exelixis, Inc. in Alameda/California seeks a Senior Scientist II to lead pharmacology research across Discovery and Development programs. A PhD with hands-on PK/PD and tumor-model experience is required, with the ability to interpret relationships and drive strategy. You...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Credentialing & Peer Review Leader. Be the first to apply!
Related searches
- merchandise team leader Alameda, CA
- team leader Alameda, CA
- compliance team leader Alameda, CA
- team lead data science Alameda, CA
- team leader mental health Alameda, CA
- leader Alameda, CA
- healthcare team leader Alameda, CA
- quality control team lead Alameda, CA
- team leader production Alameda, CA
- team supervisor Alameda, CA

