Managed Care Credentialing & Enrollment Specialist
Viacarela
Viacarela is seeking a Managed Care Coordinator in Los Angeles, CA. In this role, you will provide operational support for managed care functions and coordinate credentialing submissions. You will monitor IPA portal activity and ensure provider alignment across payor relationships. The ideal candidate will have at least one year of managed care experience, strong organizational skills, and familiarity with health plan engagement. Knowledge of Medi-Cal and Medicare products is preferred. #J-18808-Ljbffr Viacarela
- ...Via Care Community Health Center in Los Angeles, CA, seeks a Managed Care Coordinator to support operational tasks across managed care functions. In this role, you will assist with credentialing submissions, monitor IPA activities, and ensure provider alignment. Ideal...Suggested
- ...Credentialing Specialists Credentialing Specialists will provide credentialing service and support... ...utilizing the GSA scheduling tool to manage credentialing appointments, run... ...equipment to conduct post issuance and enrollment activities. These duties and responsibilities...SuggestedTemporary workFor contractorsLocal areaShift workNight shiftWeekend work
$83.62k - $127.26k
...UCLA Outpatient Clinics in Los Angeles seeks a Provider Life Cycle Liaison to manage the onboarding, offboarding, and lifecycle changes for ambulatory healthcare practitioners. This role involves coordinating activities across various departments to ensure compliance...Suggested$20.21 per hour
...development, Enterprise Data Management, Enterprise Architecture,... ...and Responsibilities: Enrollment Process Management:... ...email inquiries related to PIV credentials and access control matters.... ...sensitive personal information carefully and adhere to data protection...SuggestedFull timeFor contractorsLocal areaImmediate startFlexible hours- A leading IT services provider in Los Angeles is seeking a professional for PIV card enrollment management. The role involves scheduling appointments, verifying applicant information, maintaining data security, and providing excellent customer service. Candidates should...Suggested
- A credentialing services provider is seeking Credentialing Specialists to manage IRS credentialing sites. This role involves issuing identification cards, managing daily appointments, and ensuring compliance with credentialing processes. Candidates should have a High School...Contract work
- Behavior Frontiers, LLC in El Segundo, CA is seeking a detail-oriented individual for credentialing and enrollment management in ABA treatment. Candidates will facilitate processes for ABA providers, maintain accurate credentialing files, and coordinate with various departments...
$23 - $30 per hour
...position is responsible for performing credentialing and recredentialing activities in... ...experience in credentialing, provider enrollment, contracting or similar field You're... ...years’ credentialing experience within a managed care, hospital or CVO credentialing Environmental...Hourly payWork at office- ...bank ~ Training & development ~ Vision insurance ~ Wellness resources About the Role: Join MedPOINT Management as a Credentialing Specialist, Internal Auditor, where you'll play a vital role in ensuring compliance and accuracy in our credentialing processes...Work at officeRemote work
$40.2 per hour
...seeking qualified individuals for a medical staff position in Los Angeles. The role requires a minimum of 3 years experience in an acute care or hospital setting, with a strong preference for familiarity with Joint Commission standards. The work involves supporting medical...Day shift$21 - $23 per hour
...interpersonal skills, detail oriented, is great at multi-tasking and time management. How will you help create a World Without Limits : Facilitate end-to-end credentialing and enrollment processes for ABA providers with contracted health plans, ensuring timely...Hourly payFull timeWork at officeLocal areaMonday to Friday$35.91 - $44.88 per hour
A leading health service provider located in Montebello, CA, is seeking an Operations Specialist to support managed care functions. The ideal candidate will have a strong background in managed care operations, audit coordination, and regulatory compliance, with at least...Hourly payFull time- MedPOINT Management in Los Angeles is seeking a Credentialing Specialist to ensure the accuracy of credentialing files and adherence to established procedures. The role involves auditing, reporting, and liaising with internal and external customers on credentialing matters...Work at office
- Talented Medical Solutions is looking for a detail-driven Medical Credentials Coordinator in Los Angeles. You will manage the full credentialing lifecycle, conduct primary source verifications, and support regulatory compliance. A minimum of 3 years’ experience in medical...
$23 - $30 per hour
...Astrana Health is looking for a Credentialing Specialist in Monterey Park to perform credentialing and recredentialing activities in compliance with regulations and accreditation standards. You will review applications, analyze documents, and maintain quality goals in...Hourly pay- Talented Medical Solutions is seeking a Credentials Coordinator for an in-office position in Los Angeles, CA. The role includes managing the credentialing lifecycle for medical staff, ensuring accuracy and compliance with Joint Commission standards. Candidates should have...Work at office
$23 - $30 per hour
Astrana Health Management is seeking a Credentialing Specialist in Monterey Park, CA. This role involves performing credentialing and recredentialing in accordance with various standards and requirements. Candidates should have a high school diploma and 1-2 years of relevant...Hourly pay- Contribution Profile A Credentialing Specialist contributes to AHF's mission by thoroughly inspecting... ...is significant attention-to-detail in management of the credentialing process, entering... ...adds consistent value to the Managed Care Team and AHF members by continually offering...Temporary work
- RadNet, Inc. in Los Angeles is seeking a dedicated Credentialing Specialist responsible for verifying healthcare providers' backgrounds to uphold... .... This role involves significant attention to detail in managing the credentialing process and ensuring accurate data input....
$23 - $30 per hour
Astrana Health, Inc. is seeking a Credentialing Specialist in Monterey Park, CA. This full-time role involves performing credentialing and recredentialing activities in accordance with established policies and regulations. Candidates should have a high school diploma and...Hourly payFull time- ...ourselves on harnessing cutting-edge technology, precise workmanship, and unrivaled customer support to help healthcare facilities manage costs, streamline operations, and deliver positive patient outcomes. With onsite locations and field opportunities across the country...Work at officeWorldwideRelocation package
$70.3k
...personalized attention and exceptional care and to us, every trip is important. We have... ...Job Look Like? The Contract Compliance Specialist will develop audit tools, reports and... ..., policies and procedures, and contract management functions. Location: 5747 Rickenbacker Road...Full timeContract workApprenticeshipCasual workWork at officeLocal area$24 - $28 per hour
...Credentialing Specialist, Internal Auditor Primary responsibility involves auditing credentialing files after internal and Gemini processing... ...least 2 years’ experience with hospital medical staff or managed care credentialing position NAMSS Certification as a Certified...Hourly payWork at office- ...landscape of customer privacy, SCE must fully understand and manage the ongoing demand from customers and third parties for confidential... ...experience, including Project Management Professional (PMP) credentials or other relevant industry certifications. Bachelor's degree...Remote work
- A global logistics provider in California is seeking an Entry Writer Import Specialist III to manage complex international trade operations. The candidate will be responsible for customs clearance, documentation accuracy, and compliance with trade regulations. This vital...
- A leading compliance management firm in California is seeking a Workforce Labor Compliance Specialist. The role requires 5 years of experience related to contract compliance, along with skills in document generation and data collection. Candidates must be proficient in...Contract workWork at office
- ...program and assist in the monitoring and enforcing compliance policy guidelines for reasonable care and paperless recordkeeping. The candidate will report to the Senior Manager of Trade Compliance and assist the Trade Compliance Specialist #J-18808-Ljbffr Interplace, Inc.Work at office2 days per week1 day per week
- Charter Impact is seeking a SIS Compliance Analyst to manage student data and ensure compliance with state reporting. This remote role requires collaboration with clients across multiple states, ensuring accurate attendance records and training staff on Student Information...Remote job
- Flourish Research is seeking a Regional Regulatory Specialist for our Northridge, CA site. You will prepare and oversee research-related regulatory documents and manage submissions to IRBs and regulatory agencies. We are looking for detail-oriented candidates with a high...Hourly pay
- A prominent financial institution in Los Angeles seeks an experienced professional to manage collateral and compliance activities. The role involves analyzing loan documents, ensuring adherence to banking regulations, and providing guidance to lending operations. The ideal...Work at office
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