Senior Credentialing Specialist: Enrollments & Compliance
MediSolution
MediSolution is seeking a Senior Credentialing Specialist in Oklahoma to manage payer enrollment and provider credentialing processes. You will support new practice setup, maintain provider records, and ensure timely enrollment completion with government and commercial payers. The role emphasizes accuracy, HIPAA compliance, and collaboration with provider relations. At least 3 years in healthcare credentialing is expected, with proficiency in CAQH or CredentialStream. #J-18808-Ljbffr MediSolution
- ## Senior Credentialing SpecialistApplylocations: Oklahoma, United Statestime type: Full timeposted on: Posted Todayjob requisition id: R00... ...include, but not limited to:*** Accurately complete payer enrollment and facility appointment applications for providers.* Provides...Senior
- Electrosoft in Kentucky is seeking a Government Badging & Credentialing Specialist to manage the HSPD-12 enrollment process for PIV cards, including scheduling,... ...and personal data, maintain records, ensure compliance with security policies, and deliver professional customer...Suggested
- QualDerm Partners is seeking a Credentialing Specialist to oversee credentialing, re-credentialing, payer enrollment and privileging for... ...footprint. Reporting to the Senior Director, you will build strong... ...timely onboarding and compliance with health plan requirements...Suggested
- CarePoint Health Management Associates is looking for a skilled credentialing professional in Hoboken, NJ. The role involves credentialing and recredentialing healthcare practitioners, ensuring compliance with regulations, and managing application processes. The ideal...Suggested
- ...professional with provider credentialing experience who thrives in a... ...credentialing process while ensuring compliance with organizational and... ...resolve credentialing and enrollment issues in a timely manner.... ...Provider Credentialing Specialist (CPCS) certification preferred...SuggestedHourly payFull timeWork at officeMonday to Friday
- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented Credentialing... ...for all providers Ensure timely enrollment with insurance payers to maintain billing eligibility Compliance & Accountability Monitor credentialing...
- ...Credentialing Specialist A medical billing company in Brooklyn is looking for a Credentialing Oversight Specialist to manage quality control for a high-volume provider enrollment process, handling around 50 to 60 new enrollment requests daily. The hands-on execution...Immediate start
- ...of the MSO Manager of the area, responsible for credentialing and recredentialing practitioners as well as enrollment with participating client health plans.... ...Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA,...Flexible hours
$48.15k - $64.92k
...Purpose: Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing... ...credentialing, re-credentialing, payer enrollment and privileging processes... ...assigned region. Assure compliance with all health plan...Remote jobFull timeTemporary workImmediate start$30k - $40k
HSPD-12: Government Badging & Credentialing Specialist Duty and Responsibilities: Enrollment Process Management: Schedule appointments and/or service walk-ins... ...applicant, contractor, and federal employee files. Compliance and Training: Stay up to date with relevant...For contractorsLocal area$18.23 per hour
...contributions. Duties and Responsibilities Enrollment Process Management Schedule... ...phone calls/email inquiries related to PIV credentials and access control matters. Coordinate... ...contractors, and federal employee files. Compliance and Training Stay current with relevant...Full timeFor contractorsLocal areaImmediate startFlexible hours- Position Objective The Senior Director of Enrollment and Admissions Operations leads the systems, processes, analytics, and operational infrastructure... ..., scholarship administration, and operational compliance. Ensure timely and accurate execution of admissions processes...SeniorWork at officeAfternoon shift
- Cardinal Health, Inc. is seeking a Coordinator for Managed Care Credentialing to oversee active credentialing/enrollment with contracted payors for all groups and providers. The role ensures licensure is updated and active for all groups. The candidate will document credentialing...
$23 - $25 per hour
...LHCSA Credentialing & Office Operations Specialist (Queens, NY / In-Office) FreedomCare is a healthcare company that has been dedicated to revolutionizing... ...responsible for supporting both caregiver compliance and the day-to-day administrative operations of a LHCSA...Work at office- ...based in Ohio, is transitioning their credentialing system from Cactus to MDStaff and is looking... .... Awareness of regulatory and compliance standards (e.g., HIPAA, PHI handling).... ...Epic’s future credentialing roadmap. Seniority Level Associate Employment Type Full‑time...Remote jobFull time
$110k - $115k
Planned Parenthood of the Pacific Southwest is hiring a Senior Philanthropy Officer for its Louisville or Indianapolis locations. This role is pivotal in managing relationships with principal donors and overseeing planned giving initiatives across Indiana and Kentucky....Senior- A biopharmaceutical solutions company is seeking a Sr Medical Writer to lead medical writing deliverables and ensure compliance with regulatory standards. Responsibilities include managing writing activities for clinical studies, completing diverse documents, and mentoring...SeniorRemote jobFlexible hours
- ...technology solutions to enhance fair lending risk analysis methodologies, improve process efficiency, and keep the fair lending compliance program aligned with industry and regulatory standards.Leverage AI-enabled tools, generative AI, intelligent automation, and emerging...Senior
- ...YY, Basel IV).· Develop and execute test plans for new data requirements and changes to data sources to ensure timely regulatory compliance.· Review Federal Reserve SR letters to ensure compliance within FFIEC 002 and FR Y-15 reporting.· Perform periodic compliance reviews...SeniorWork at office
- Een accountants- en adviesorganisatie zoekt een ervaren Compliance Officer die verantwoordelijk is voor de naleving van wet- en regelgeving. Je houdt toezicht op de interne richtlijnen en adviseert het management. Je hebt minimaal 10 jaar ervaring, sterke analytische vaardigheden...Senior
- ...managing work orders to support GMP-compliant operations. The candidate will work with EMS, Deviations, and Change Controls to ensure environmental monitoring and quality systems stay in compliance. MTG is an equal opportunity employer. #J-18808-Ljbffr Mentor Technical GroupSenior
- ...seeking a Sr Medicare Regulatory Analyst to investigate and resolve high-profile Medicare Part D complaints, ensuring CMS regulatory compliance and supporting audits. The role involves coordinating recalls, access-to-benefits processes, and cross-department collaboration...SeniorRemote job
- HealthEdge Software, Inc. in the United States is hiring a Senior Enrollment Specialist to ensure accurate Medicare enrollment processing, including billing and member data maintenance. You will verify eligibility, review CMS transactions, and resolve enrollment rejections...SeniorRemote job
$119k - $218.3k
Position Summary Senior Consultant - Risk, Regulatory, & Licensing - Digital Assets Regulatory & Financial Risk Ready for a fast... ...to provide clients with up-to-date perspectives on compliance obligations and industry best practices.Collaborate with cross-...SeniorWork at office- ...with one of the largest renewable energy portfolios in the U.S., is seeking a NERC Operations Senior Analyst to support the company’s NERC Operations & Planning (O&P) compliance program and ensure operations meet NERC reliability standards. The role emphasizes daily...Senior
- Support the administration of Continuing Professional Education (CPE) compliance activities in alignment with NASBA, state board regulations, and other applicable standards Coordinate and help maintain CPE compliance processes, procedures, and communications to drive regulatory...Senior
- AES Corporation is seeking a NERC Operations Senior Analyst to support the O&P compliance program and ensure alignment with North American Electric Reliability Corporation standards. The role emphasizes data collection, audit readiness, and cross-functional teamwork to...Senior
- INTEGRIS Health is seeking a Medical Staff Specialist at our Corporate Office in Oklahoma City, OK. The role serves as a... ...professionals, legal counsel and administration to manage credentialing, regulatory compliance and Joint Commission standards. You will develop and...Work at office
- ...experience in the utility industry with a relevant degree. Key responsibilities include developing regulatory strategies and maintaining compliance. The company offers a collaborative work environment with comprehensive benefits including a company-funded pension and 401k...Senior
- Tax Is About More Than Compliance. It's About Relationships, Advice,... ...responsibility. What You'll Do As a Tax Senior, you'll serve as a key member... ...toward a professional credential preferred. Strong technical,... ..., CPA, CPA Candidate, Enrolled Agent, EA, Tax Compliance, Tax...SeniorLocal area
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