Provider Credentialing Specialist - Network Compliance
Health-Network-One
Health Network One is seeking a Credentialing Specialist to handle initial and re-credentialing of network providers and maintenance of credentialing files. This role ensures compliance with NCQA standards and HIPAA policies. Your responsibilities include processing applications, data entry, preparation for Credentialing Committee reviews, and maintaining credentialing timelines. Strong attention to confidentiality and provider communication is essential. #J-18808-Ljbffr Health-Network-One
- Health Network One (HN1) is seeking a Credentialing Specialist to manage initial credentialing and re-credentialing of network providers and to maintain credentialing files both electronically and on paper. The role ensures compliance with NCQA requirements. You will receive...Network
$23.31 - $30.1 per hour
...South Florida, Inc. seeks a full-time Credentialing Specialist in Miami, FL, responsible for credentialing and recredentialing all providers and facilities. Candidates should have... ...and relevant certifications, ensuring compliance with regulatory standards. This role requires...SuggestedHourly payFull timeWork at office- Unividamedicalcenters is seeking a Credentialing Specialist to manage credentialing, recredentialing, enrollment, and privileging for providers. You will verify credentials via primary sources and coordinate with plans, regulators, and internal teams to ensure timely,...Suggested
- The Credentialing Specialist is responsible for coordinating and maintaining all aspects of the provider credentialing, recredentialing, enrollment,... ...participate in healthcare networks and deliver services... ...activities while maintaining compliance with applicable...NetworkWork at officeFlexible hours
- Alivi in Miami, FL is seeking a Credentialing Coordinator to handle administrative tasks for provider credentialing, collect documents for initial and re-credentialing, and track expiration dates to keep files current and compliant. You will maintain credentialing databases...Suggested
- ...Job Description Job Description Credentialing Specialist Little Havana Activities and Nutrition... ...development and maintenance of its provider network. This role is responsible for... ...completeness, accuracy, and regulatory compliance prior to submission Maintain comprehensive...NetworkWork at officeLocal area
- ...Credentialing Specialist - Hybrid (Full Time, Day Shift) Job Summary The NCPS Credentialing & Onboarding... ...operations, and TM&E to support provider onboarding, credentialing,... ...and supporting documentation to ensure compliance with applicable organizational, regulatory...Full timeDay shift
- ...Credentialing Specialist The Credentialing Specialist is responsible for credentialing and recredentialing all billable providers, specialties, and facilities. Obtain access to the different... ...and sites, enforces regulatory compliance and adheres to quality assurance...Work at office
$18 - $25 per hour
...seeking an experienced and detail-oriented Credentialing Specialist to join our team in our Kendall... ...and have extensive experience managing provider credentialing, we'd love to hear from... ...healthcare providers while ensuring compliance with federal, state, payer, and...Hourly payWork at office- Nova Medical Services in Kendall, FL is seeking a Credentialing Specialist to manage provider credentialing and recredentialing with a focus on accuracy and compliance. The role requires experience in healthcare credentialing and bilingual English/Spanish communication....Work at office
- ...thrilled to announce that we are actively seeking a talented Credentialing Specialist to join our team. The Credentialing Specialist performs... ...by ensuring participating practitioners and/or providers possess the appropriate practice experience, licenses, certifications...Work at office
- Alivi is seeking a Credentialing Coordinator to support provider credentialing, document collection for initial and re-credentialing, and file maintenance. The role ensures a smooth credentialing process and accurate document storage in the credentialing database. The coordinator...
- Nova Medical Services is seeking an experienced Credentialing Specialist to join our Kendall office. This role manages the credentialing and recredentialing process for healthcare providers while ensuring compliance with federal, state, payer, and accreditation requirements...Work at office
- Credentialing Specialist - Medical Staff Services Full Time, Days Department: Medical Staff Services... ...in operational systems to be in compliance with regulations as promulgated by JCAHO... ...regulatory bodies as deemed necessary. Provides education to internal and external...Full time
- Miami Children’s Hospital is seeking a Credentialing Specialist for a hybrid, full-time day-shift... ...ensuring timely activation and regulatory compliance. Responsibilities include reviewing... ..., and telehealth services to support provider readiness and accreditation standards...Full timeDay shift
- Socket.dev is seeking an NCPS Credentialing & Onboarding Specialist to partner with Medical Staff Offices, practice operations, and Telehealth teams... ...hospitals and service locations. You will collect and vet provider documentation, maintain records, and coordinate with...
$109.3k - $145.2k
...Support reporting and dashboard creation to provide actionable insights.Document processes... ..., data classification, and security compliance standards.Demonstrable experience with Salesforce... ...solutions. Add to that our worldwide network of doers and experts, and you’ll see...NetworkFull timeTemporary workLocal areaFlexible hours- ChenMed is seeking a Clinician Licensing Specialist to manage the full lifecycle of professional licenses for clinical providers across multiple states, ensuring regulatory compliance and supporting onboarding. Responsibilities include initial applications, renewals, FCVS...
$199.2k - $273.8k
..., revenue management, or business strategy, within Enterprise Networking, technology, cybersecurity, SaaS, or top-tier consulting firms... ...together across the physical and digital worlds. These solutions provide customers with unparalleled security, visibility, and insights...NetworkFull timeTemporary workLocal areaRemote workFlexible hours- A healthcare provider in Miami is seeking a Credentialing Specialist responsible for maintaining standards for the Corporate Credentialing Department. Key tasks include ensuring regulatory compliance, managing credentialing processes, and collaborating with various departments...Day shift
$55k
...looking to launch your career in financial compliance and regulation? Optima Partners is... ...Responsibilities Include: Monitor expert network interactions and employee personal trading... .... *Optima Partners is committed to providing equal opportunities in employment. We will...NetworkFull timeWork at office3 days per week$160k - $190k
...Senior Federal Cybersecurity & Compliance Consultant (Expert in CMMC... ...: prior experience in networking, systems administration, security... ...technical field; additional credentials like CMMC RP, CISSP, CISA,... ...compensation based on experience; provides full healthcare insurance (...NetworkFull timeRemote workFlexible hours- A staffing firm is seeking a Credentialing Assistant in Miami, FL for a 5-month engagement. The role involves processing credentialing applications, maintaining databases, and collaborating with medical offices and licensing agencies. Candidates should possess a high school...Weekday work
- ...Job Description Job Description JOB TITLE: Credentialing Specialist REPORTS TO: Revenue Cycle Manager FLSA STATUS:... ...of regulatory requirements and accreditation standards for provider credentialing. Proficient in MS Office and intermediate...Contract work
$32.6 - $47.81 per hour
...passionate about Information Protection and Compliance and has a deep understanding of how to... ...contributions Global collaboration and networking opportunities Our Culture Our culture is... ...values and applicable law, we provide the following information to promote pay...NetworkFlexible hours- ...Senior Research Regulatory Specialist supports the clinical research... ...Institute (NCRI) by providing advanced regulatory oversight... ...expert on regulatory strategy, compliance, and submission readiness.... ...from National Clinical Trials Network (NCTN) and other sources, submitting...NetworkFull timeWork at office
- ...Job Title Security & Compliance Analyst Location Doral, FL 33122 US (Primary)... ...to everyone's success. To that end, we provide employees with a best-in-class benefits... ...job training, tuition reimbursement, and networking. A positive work environment where...NetworkFull timeContract work
- ...Job Title Security Compliance Analyst Location Doral, FL 33122 US (Primary) Category... ...to everyone's success. To that end, we provide employees with a best-in-class benefits... ...training, tuition reimbursement, and networking. A positive work environment where...NetworkFull timeContract workFor contractors
- A leading health services organization in Miami is seeking a Credentialing Specialist for its Medical Staff Services. The specialist will ensure compliance with credentialing regulations, educate stakeholders, and maintain an effective credentialing system. Candidates...
- ...Description We are seeking a Senior Provider Services Advocate to join... ...delivery, billing, and compliance, thereby enhancing provider... ...related to claims, billing, credentialing and compliance. Collaborate... ..., provider relations, network management and other stakeholders...Network
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