Healthcare Credentialing & Licensing Specialist
Main Street Health
Main Street Health is seeking a Licensing and Credentialing Specialist to bridge gaps between providers, regulatory agencies and payers. You will verify education, licenses, and credentials, maintain provider records, and ensure licenses are active to support timely patient care. In this role, you will manage a streamlined credentialing process, track expirations, and collaborate with partners to deliver thoughtful, timely service while mentoring teammates and upholding high standards of #J-18808-Ljbffr Main Street Health
- ...rural America. We believe in the old ways of medicine when healthcare was simpler. By partnering with rural health systems,... ...high-quality care to patients. About the Role The Licensing and Credentialing Specialist plays a vital role in Main Street Health to bridge the...SuggestedFull timeFlexible hours
- Main Street Health seeks a Licensing and Credentialing Specialist to bridge providers with regulatory bodies and payers. You will verify education, licenses, and credentials, keeping records current and compliant to ensure timely onboarding of qualified professionals....Suggested
- Pathgroup- in Nashville, TN, is seeking a Credentialing Coordinator to support onboarding, credentialing verification, and data entry across... ...teams and external vendors. The ideal candidate will have healthcare office experience, knowledge of medical terminology, and...SuggestedRemote job
- ...absolute confidentiality. Relevant Experience: Background in healthcare, regulatory compliance, human resources, or a related field. Position... ...combinations of education and experience may be considered. Licenses/Certifications: None required. Knowledge, Skills, and...SuggestedLive inWork at officeLocal areaRemote workMonday to FridayShift work
- Prospect Infosys Inc. in Nashville, TN seeks a Public Health Administrator to perform license-related tasks, review applications, and ensure compliance with health regulations. This long-term opportunity offers a competitive hourly rate and a contract arrangement in the...SuggestedHourly payContract work
$24 - $28 per hour
...Credentialing Specialist At Chord Specialty Dental Partners, exceptional patient care starts with the behind-the-scenes work of our Credentialing team. We're looking for a Credentialing Specialist to join our close-knit, collaborative department that plays a vital...Contract workWork at officeRemote workHome office- ...Description Job Description Mid-Level Healthcare Regulatory & Enforcement Associate... ...matters , including provider and facility licensing. Counsel clients on Medicare and... ...strongly preferred. ~ Strong academic credentials and excellent drafting skills. ~ Exceptional...Work at office3 days per week
- ...backgrounds, experiences, and perspectives to join us in our mission of improving patient outcomes by accelerating access to life changing healthcare innovations. A global healthcare consulting and solutions organization, Petauri brings together decades of experience across...Work experience placement
- OneOncology is seeking a Credentialing Specialist to manage privileging and credentialing for physicians and allied health professionals, including application processing, verification, and ensuring compliance with medical staff procedures. This role reports to the Credentialing...Remote job
$80.9k - $127.05k
...Mansfield, MA. Job Summary The Principal Regulatory Affairs Specialist supports the Medical Solutions Regulatory Affairs team by... ...products, and a provider of performance and data solutions for healthcare facilities. We are a crucial link between the clinical and...Full timeTemporary workWork experience placementLocal areaImmediate startRemote workFlexible hours- ...Resubmit biometric files that did not transmit properly, follow up with federal POCs if transmission issues identified Review credentialing files and work with candidates to obtain missing, incomplete, and expiring items Inputting data into Customer Relationship Management...Contract workWork at office
- LHH is hiring several a Healthcare Associate Attorney 2-7 years of experience salary commensurate with experience but in line with top of market for Nashville Please apply directly to this link! Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy...Local area
- Ardent Health Services is seeking a Hospital Auditor to review inpatient and outpatient records for accuracy and regulatory compliance. You’ll identify documentation gaps, validate coding accuracy, and support education to strengthen reimbursement integrity and patient ...
- HCA Healthcare is seeking a Compliance Standards Specialist to support the Ethics and Compliance program. The role involves reviewing and resolving healthcare regulatory concerns, educating facilities, and coordinating training on current compliance trends across the enterprise...
- ...Description Job Description Why Join IntellaTriage? • Join a mission-driven organization dedicated to delivering exceptional healthcare support services. • Build a strong foundation in healthcare compliance and operations. • Gain experience with regulatory...Hourly payFull timePart timeWork experience placement
- Jobtailor in Brentwood, Tennessee is seeking a detail-oriented Compliance Operations Assistant to support daily compliance tasks, maintain accurate documentation, and assist with audits and reporting. The role involves processing compliance data, ensuring policy adherence...
- ...PIV) Card Activations, Enrollments, Certificate Updates, and PIN Resets. Answering phone calls/email inquiries related to PIV credentials and access control matters. Coordinate and conduct the enrollment process for PIV cards, including verifying the identity of applicants...For contractorsLocal areaImmediate startFlexible hours
- ...ARMADA HQTravel Requirement: YES, nationwide to support onsite credentialing operations as mission needs require.Security Clearance... ...UPON AWARDING OF GOVERNMENT CONTRACT********Credentialing Specialists will provide credentialing service and support to operate IRS...Contract workTemporary workFor contractorsLocal areaRelocationShift workNight shiftWeekend work
- ...Job Description Job Description One Federal Solution is seeking Credentialing Specialists to support a large federal identity credentialing program. The Credentialing Specialist will perform credential enrollment, issuance, activation, inventory management, and customer...Permanent employmentFor contractorsWork experience placementWork at office
- Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity.... ...like family! Jump-start your career as a Compliance Standards Specialist today with HCA Healthcare. Job Summary And Qualifications The...Temporary workFlexible hours
- ...requirements in the U.S. for the Caterpillar Insurance Company and insurance affiliates related to rates, forms, other filings, and producer licensing. Responsibilities Perform tasks related to insurance filing and producer licensing and insurance regulation documentation....
- ...detail‑oriented Business Management Coordinator & Tax Compliance Specialist to support small business clients through key administrative,... ...tax professionals while handling foundational business setup, licensing, and lifecycle tasks. The Business Management Coordinator &...
- ...improvement of the corporate compliance program. Monitor changes in healthcare regulations and collaborate with the appropriate stakeholders... ..., renewal, and amendment filings for Utilization Review (UR) licenses across all applicable state jurisdictions, ensuring accuracy,...Full timeRemote work
$60k - $70k
Position Title: Compliance Specialist (Full-time, Exempt) Who’ll You Report To: Sr. Director of Compliance & Privacy Job Description Vimly... ...regulatory changes Managing required filings and business licenses in the applicable states. License types include COA/business license...Full timeTemporary workWork at officeFlexible hours- ...with attorneys in the Company\'s Legal department to address legal and regulatory matters pertaining to insurance producers (e.g., licensing and appointments). Monitor legal and regulatory changes affecting producer licensing and appointments. Assist with other...
$61.5k - $136.1k
...and decision‑making skills PC proficiency to include Word, PowerPoint, and Excel Preferred Job Qualifications Government Programs Healthcare Compliance experience and equivalent experience Knowledge of Medicare Part D regulatory and operational requirements Government...Remote job$35 per hour
...identify discrepancies with candidate credentials that are not addressed by established adjudication... ...with cross-functional teams. Licenses, Certifications and Training No... ...decision-making skills in a professional healthcare environment. Physical Demands This is...Hourly payContract workWork experience placementWork at officeMonday to FridayFlexible hours- Health Care Service Corporation is seeking a detail-oriented analyst to investigate and resolve high-profile Medicare Part D complaints and grievances in Nashville. You will support CMS regulatory compliance, audits, and recall communications while coordinating across departments...
- ...customer audit requests. Provide support to other Compliance Specialists, the Compliance Manager, and the Director of Compliance as needed... ...software and systems to function effectively in this position. Certifications & Licenses: None #J-18808-Ljbffr Top Rx LLCWork at officeMonday to FridayRotating shiftAfternoon shift
- ...trade obligations. You will help manage export sales transactions by supporting ECCN classification and encryption reviews, evaluating license requirements, and ensuring appropriate export documentation and control procedures are followed. In partnership with cross-...Work at officeLocal areaRemote workShift workAfternoon shift
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