Remote PM Lead, Provider Contracting & Credentialing
Highmark Health
Highmark Health seeks a strategic Product Management Leader to drive the vision and execution for a portfolio supporting Provider Contracting, Credentialing, and Network capabilities. You will guide the team through discovery, business cases, prioritization, and lifecycle management while aligning with enterprise objectives. You will partner across business, technology, and operations to translate customer needs into measurable outcomes, manage risks, and foster adoption of new capabilities. #J-18808-Ljbffr
- ...TRISTAR MANAGED CARE INC is seeking a Credentialing and Contracting Specialist responsible for managing contracts and credentialing databases.... ...compliance, performing document verification, and maintaining provider files. The ideal candidate will have strong...Remote workFull timeWork at office
$108.6k - $180.6k
...SUMMARYThis role is responsible for leading the product strategy, vision, and execution... ...a portfolio of products supporting Provider Contracting, Credentialing, and Network capabilities within... ...Type Office-Based or Remote PositionPhysical work site requiredFrequentlyDisclaimer...Remote workFull timeFor contractorsWork at officeLocal areaWork from home- ...Devoted seeks a Paralegal to lead end-to-end contracting for vendors and participating providers, with emphasis on Medicare Advantage and Commercial operations. You will draft, review, and negotiate agreements, manage intake and approvals, maintain templates and playbooks...Remote work
$87.19k - $127.15k
...we're Oscar. We're hiring a Provider Contracting Associate to join our... ...Work Location: This is a remote position based in the field... ...Provider Operations, Claims, Credentialing, Configuration, Compliance,... ...contracting and operational leaders; lead routine business reviews,...Remote workFull timeContract workLocal areaWork from homeHome office$48.7k - $50k
...Location Remote - Miami, FL, United States Base Pay $48,6... ....00 / Year Job Category Provider Relations Lead, NEMT Provider Relations, Hiring... ...relationships. Oversee credentialing compliance and maintain... ...to recruit, negotiate, and contract new providers. Maintain...Remote workFull timeContract workWork at office- Highmark Health in Columbus, OH seeks a Senior Product Manager to lead strategy and execution for Provider Contracting, Credentialing, and Network products within Provider Data & Reimbursement. You will guide a team of Product Managers and align roadmaps with customer needs...
- ...To build a best-in-class department, the full-time Provider Credentialing Lead will design, develop, and oversee the onboarding and credentialing processes for healthcare providers across the United States, ensuring compliance with industry standards and effective collaboration...Remote workFull time
- ...BreatheSuite Inc. is expanding its Provider Success team and seeks a PT Leader to mentor therapists, lead clinical content, and guide... ...platform. In this remote role, you will own the creation... ...educative modules, work with credentialing and product teams, and develop...Remote work
- ...General Dynamics Information Technology, Inc. is seeking a Contracting Manager to lead provider contracting and network development for the World Trade Center Health Program. The role drives network adequacy, manages the full contract lifecycle, and ensures providers...Remote workContract work
- ...GDIT in the United States seeks a Contracting Manager to lead provider contracting and network development for the World Trade Center Health Program. You will oversee the full contract lifecycle, negotiate terms, and ensure providers are recruited, contracted, onboarded...Remote workContract work
- ...Description Qualifacts is a leading provider of behavioral health... ...in either office location. Remote candidates will not be considered... ...Responsibilities for the Provider Credentialing Specialist Keeps abreast of... ...credentials, and insurance contracts Monitors Partner/Customer’s...Remote workWork at office
- PASRR, Provider, and Diversion Coordinator Team Lead II THE GULF COAST CENTER PASRR, Provider,... ...Gulf Coast Center staff, contracted providers, or voucher... ...compliance, required training, credentialing, and quality of service... ..., community, and remote settings, with varied or...Remote workFull timeContract workFor contractorsWork at officeLocal areaRelocationFlexible hours
$75k - $125k
...Provider Success Lead, Physical Therapy Work Structure: Fully Remote Reports To: Head of Clinical License Requirements: Active PT license About BreatheSuite... ...to their first patient. Coordinate with credentialing, product/engineering, and operations to make sure...Remote workFull timeShift work$134.6k - $249k
This is a remote position but does require travel into the... ...Position Purpose: Oversee provider network performance and communications... ...with other leaders (Credentialing, PDM, Contracting, Shared Services) to... ...environment. Previous experience leading major projects and change...Remote workFull timePart timeH1bWork at officeFlexible hours$250k - $270k
...Pomelo Care is the leading virtual medical practice... ...women and children, providing care across pregnancy... ...from acquisition and contracting through onboarding, activation... ...across contracting, credentialing, onboarding,... ...parental leave ~ Fully remote work flexibility (...Remote workFull timeFlexible hours- Rockstar is an industry-leading staffing company based... ...them with skilled remote professionals. We partner... ...around the world, providing meaningful remote career... ...experienced Provider Credentialing Specialist to support... ...including traveling or contract providers Background...Remote workFull timeContract workWork at officeHome office
$20 per hour
...BroadPath, a Sagility Company, is hiring a Credentialing Specialist to join our remote team. Ready to make your... ...by ensuring timely, accurate provider credentialing and maintaining compliance... ...Scheduling spans 9:00 AM–9:00 PM ET and may be assigned per business...Remote workHourly payWeekly payWork from home- ...Leading provider enrollment operations in a fully remote capacity, the full-time Director of Provider Enrollment will ensure accurate onboarding, contract implementation, and regulatory compliance while driving... ...delegated credentialing processes and establish governance...Remote workFull timeContract work
$139.67k - $209.52k
...BuildingDepartment:1007350 PROVIDER RECRUITING - EH SSJob... ...is responsible for leading the collaboration of... ...Payer Enrollment and Credentialing to streamline processes... ...associations; negotiate contracts to ensure cost-... ...Location:This position is remote; candidates must reside...Remote workFull timeLocumLocal areaWork from homeFlexible hoursShift workWeekend work$62.2k - $103.6k
...operational challenges, strengthen provider oversight, and help teams... ...Partner with contracted pharmacy providers and internal... ...compliance and operational matters. Lead or contribute to cross-functional... ...related to accreditation, credentialing, delegation, or oversight....Remote jobLocal areaWork from home- ...achieving industry-leading patient NPS and retention... ...that frees providers to focus on what matters... ...Type: Full-time contract Role Type: Provider... ...years Location: Fully remote Work Hours: 9:00 AM–6:00 PM US Central Time... ...physician relationships. Credentialing and payer-...Remote workHourly payFull timeContract workFor contractorsCasual work
- ...Network Development & Contracting Schedule - Shift 1.... ...Samaritan Health Plans (SHP) provides health insurance... .... This is a remote position in which we are... ...skills Knowledge of credentialing Network adequacy and... ...Communication and team building – Leads effectively with...Remote workContract workRelocationShift work
- We are seeking a detail-oriented Provider Contracting Admin Assistant to support a large-scale provider... ...administration, provider contracting, credentialing, medical records, or document... ...Ability to work independently in a fully remote environment. Preferred Experience working...Remote jobContract workWork at office
$130k - $150k
...Pomelo Care is the leading virtual medical practice... ...for women and children, providing care across pregnancy,... ..., Licensing & Credentialing, Product, Clinical Leadership... ...to keep time between contract signature & first patient... ...leave ~ Fully remote work flexibility (within...Remote workFull timeContract workFlexible hours- ...HealthTrust Workforce Solutions, a leading provider of healthcare jobs, is seeking a Contract Recruiter to source USA-domestic clinical permanent staff for... ...teams, and guiding candidates through onboarding and credentialing processes. Ideal candidates have 3+ years in high...Remote workPermanent employmentContract work
- ...Spectrum Billing Solutions is seeking a Credentialing Specialist to join our growing team. This role focuses on completing provider credentialing and contract applications with third-party carriers and government payors, while maintaining accurate records in CAQH and...Remote workContract workFlexible hours
- ...Credentialing Specialist Requirements: Must have 5+ years of experience from... ...board certifications, anything the provider is licensed to do. Please avoid... ...certifications. Duration: 13 weeks contract. This position is completely onsite; remote work is not available. Shift: M-...Remote workContract workTemporary workCasual workWork at officeShift work
- ...National Partners in Healthcare (NPH) is seeking a Provider Enrollment Specialist for a remote role with residency requirements in AZ, TX, TN... ...timely reimbursement. You will work with credentialing, billing, and contracting teams to track status, resolve discrepancies,...Remote workWork from home
$30 - $35 per hour
...alternative application process. Provider Network Account Executive (6 Month Contract) Temporary Full-Time... ...Location: Washington, DC Schedule: Remote, with onsite meetings every other... ...Management department with the credentialing and re-credentialing processes,...Remote workHourly payFull timeContract workTemporary workWork at officeLocal area$25.4 - $30.01 per hour
...Job Description Healthcare Provider Network Contract Specialist (Pittsburgh, PA... ...Wednesdays, and Thursdays ; remote work on remaining days)... ...network, contract execution, or credentialing experience.) Future... ...Programs) and external customers, lead training for new staff...Remote workHourly payPermanent employmentFull timeContract workWork experience placementWork at officeImmediate startMonday to FridayShift workDay shift
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