Remote Delegated Credentialing Specialist (NCQA)
The Dental Group
The Dental Group is seeking a dedicated Delegated Credentialing Specialist to join its remote team. This role involves organizing and verifying credentialing processes for dentists while ensuring compliance with NCQA guidelines. You will audit provider files, manage licensure renewals, and coordinate internal credentialing activities. The ideal candidate should possess knowledge of credentialing documents, strong attention to detail, and effective communication skills. Sage Dental Management offers competitive compensation and opportunities for professional growth. #J-18808-Ljbffr
- ...Sage Dental in Boca Raton, FL offers a remote position for a Delegated Credentialing Specialist responsible for organizing and verifying the credentialing process for dentists. The role requires adherence to NCQA guidelines and effective communication. Candidates should...Remote workWork at office
- ...Credentialing Specialist - Remote Must Reside in North Carolina Work Arrangement: Remote Location: Durham... ...with The Joint Commission, NCQA, CMS, and AAAHC Standards for health... ...Subject Matter Expert for compliance of delegated credentialing contracts of current health...Remote workWork at office
- ...Overview Join to apply for the Delegated Credentialing Specialist role at The Ohio State University Wexner Medical Center . Current employees and students... ...and medical staff privileging, assuring compliance with NCQA and JCAHO standards. Also, responsibility will include...SuggestedFull timeTemporary workWork at office
- ...centered care. Overview Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing... ...policies and procedures. Responsibilities Adhere to NCQA guidelines. Audit Provider Licensure Files to NCQA...Remote workWork at officeFlexible hours
- ...Ardent Credentialing Specialist At Ardent, we believe that the "product" in... ...credentialing software, follow NCQA-aligned processes, and... ...habits suitable for a fully remote environment; reliable follow... ...Experience in a CVO, MSO, or delegated credentialing environment...Remote workFull timeWork at office
- ...Position: Credentialing Specialist - REMOTE *TEXAS Residents Only* Location: Corporate Office 14100 San... ...Excel, Word, Outlook and Adobe Delegated credentialing experience (preferred)... ...standards (i.e., Joint Commission, NCQA, UCA, and CMS) (preferred) CPCS or...Remote workFull timeTemporary workWork at office
$20 - $25 per hour
...healthier. Our LBS Credentialing Support Services team... ...facilities. Working in a fully remote environment, team... .... A Credentialing Specialist who excels in this... ...for Quality Assurance (NCQA) standards. Collaborate... ...including task delegation, project oversight, and...Remote workHourly payFull timeTemporary workPart timeWork at office- ...Our client is seeking a Credentialing Specialist to join their team. The primary... ..., and work history per NCQA, URAC, and regulatory standards... ...and maintain records for delegated credentialing agreements.... ...Work collaboratively within a remote or in-office team environment...Remote workFull timeTemporary workWork at officeLocal areaMonday to Friday
- ...hybrid opportunity. Will work remote and on-site at our... ...suggest improvements to credentialing and privileging processes... ...credentialing entities (e.g., CMOs, delegates and health plans for NCQA); independently... .... Provider Credentialing Specialist Certificate within 36 months...Remote workLocal areaFlexible hours
- ...Credentialing Specialist Under general supervision, responsible for all functions... ...files to MSO offices and delegated entities; Acts as a liaison... ...i.e. The Joint Commission, NCQA, URAC, HFAP) in regards to... ...Can be onsite or remote (must live near Detroit - will...Remote workFull time
$25 per hour
...healthcare healthy can be as fun as it is rewarding." The Credentialing Specialist is responsible for credentialing and recredentialing client... ...credentialing processes, policies and procedures and delegated credentialing requirements Able to communicate clearly and...Temporary workLocumImmediate startWork from homeFlexible hours- SSM Health is seeking a Provider Enrollment Specialist in Missouri. This remote role involves managing provider enrollment with various payers and... ...of experience in a medical office and strong skills in credentialing databases and Microsoft applications. Benefits include...Remote jobWork at office
- ...ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role... ...documentation. Ensure compliance with NCQA, CMS, state, and payer-specific... ...paced environment. Pay & Perks: Fully remote opportunity Medical, dental, and vision...Remote workLocal areaWork from home
- ...Credentialing Specialist - Payer Enrollment & Health Plan Experience Full-Time Contract • Remote (United States) • US Citizenship Required POSITION OVERVIEW: Experienced Credentialing... ...demonstrated success navigating CMS, NCQA, and state/federal compliance requirements...Remote workFull timeContract work
$45k
...Credentialing Specialist Reports to: Operations Manager Headquarters: Savannah, GA Job Location: Remote What we do at Dental Claim Support: DCS is a dental revenue cycle... ...to, or contracted for, as delegated by Operations Manager, and/or Credentialing...Remote workWork at office$20 per hour
...Overview Credentialing Specialists work to ensure verification of the professional licensing, training... ...federal and state standards, as well as NCQA (National Committee for Quality Assurance) standards. This is a fully remote opportunity. Duties &...Remote workWork experience placement$21 - $26 per hour
...coordinating all aspects of the credentialing and/or re-credentialing... ...spreadsheets to comply with group delegation requirements, as required.... ...function effectively in a remote work environment.... ...Certified Provider Credentialing Specialist (CPCS) within the first 3 years...Remote workHourly payTemporary workFor contractorsWork at officeLocal areaFlexible hours- ...care anywhere by powering telehealth solutions at scale. The Credentialing Specialist is responsible for managing the credentialing and... ...recredentialing processes for healthcare providers in accordance with our NCQA accredited Credentialing Verification Organization (CVO)...Remote workFlexible hours
$21 - $27 per hour
...Credentialing Specialist (Anders) Join to apply for the Credentialing Specialist role at Anders . A5... ...regulatory standards (TJC, AAAHC, DNV, NCQA), state and federal requirements and CMS... ...work program that allows on‑site, remote, hybrid or switching between those options...Remote workHourly payWork experience placementWork at officeFlexible hours- ...responsible for all functions of the Credentialing Specialist. This includes credentialing, re-credentialing... .... Is knowledgeable about TJC, CMS, NCQA and other regulatory agencies related... ...evaluated to determine if full-time remote is an option With the exception of the...Remote workFull timeWork experience placementImmediate start
- ...serve. Job Description: The Credentialing Specialist will report to OneOncology's Credentialing... ...~ Experience working with NCQA criteria and third-party payer regulations... ...preferred but not required. ~ Working remote with Travel flexibility as needed....Remote work
$57k - $62k
...may be in office on occasion.* The Credentialing and Enrollment Specialist is responsible for all aspects of the... ...projects requiring knowledge of delegated and non-delegated health plan requirements... .... Technical Requirements (for remote workers only, not applicable for...Remote workFull timeWork at officeLocal areaWork from homeHome office- ...profitable, fast-growing company with a fully remote U.S. team and a large in-office... ...-oriented, and execution-focused Credentialing Specialist who will own provider enrollment, credentialing... ...Ensure all credentialing files meet NCQA, TJC, CMS, and payer-specific...Remote workWork at office
$30 - $37 per hour
...being part of the solution. As the Credentialing Specialist at BetterHelp, you'll join a diverse team... ...enrollment manager, Help Scout, NCQA, etc.) they will be responsible for researching... .../life balance. Really. Can I work remotely? Yes. We operate on PST and...Remote workFull timeWork experience placementWork at officeImmediate start$46k - $64k
...Credentialing Specialist Location: Downers Grove, IL Hours: Monday-Friday. 40 hours per week Schedule: Hybrid 2 days in office, 3 days remote Benefits Comprehensive medical, dental, and vision benefits... ...the Credentialing Policy and NCQA guidelines. Coordinates data collection...Remote workWork at officeImmediate startMonday to Friday$50k - $70k
...Position Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our... ...work history to ensure compliance with NCQA and CMS standards. Update and maintain... ...experience and location). Environment: Remote Premium Medical, Dental, and Vision...Remote work$19.95 - $31.92 per hour
...Maintains accurate records of providers’ credentials. Processes providers’ applications for privileges... ...and scanning applications.Knowledge of NCQA and/or Joint Commission Accreditation... ...Use office equipment (in office or remote) Communicate verbally and in writing...Remote workHourly payWork at office- ...Payer Credentialing Specialist The Payer Credentialing Specialist is responsible for managing the... ...standards related to credentialing (e.g., NCQA, HRSA, CMS). Detail-oriented with... ...office environment with occasionally remote coordination. Requires frequent communication...Remote workWork at officeLocal areaAfternoon shift
- ...The Credentialing Specialist is primarily responsible for activities impacting facility and practitioner... ...job functions either on site or remotely Qualifications / Preferred: Working... ...regulations, policies and procedures, and NCQA standards General understanding of...Remote workLive inWork at office
- ...BayCare Health System seeks a Credentialing and Provider Enrollment Specialist Sr. located in Florida. This full-time remote position coordinates credentialing and provider enrollment... ..., and auditing provider files to meet NCQA and state regulations. BayCare values diversity...Remote workFull time
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