Seeking a detail-oriented Provider Enrollment & Credentialing Specialist, the full-time role will manage provider licensing, credentialing, and enrollment processes for a multi-state virtual clinical network while ensuring compliance with NCQA standards. Key responsibilities Oversee end-to-end execution of provider licensing, renewals, re-credentialing, and payer enrollment across all states Manage the onboarding process from provider acceptance to ready-to-practice status, ensuring timely communication with Clinical Operations and People teams Maintain audit-ready documentation and translate NCQA standards into operational workflows and policies Required qualifications 3+ years of experience in credentialing, provider enrollment, or medical staff services in a multi-provider environment Demonstrated NCQA credentialing and re-credentialing experience in daily operations Experience with multi-state licensure management and compliance monitoring Fluency in credentialing documentation processes, including primary-source verification and CAQH Proven ability to manage high-volume tasks while effectively communicating with various stakeholders
...experience, skills, training, certifications and education. HSHS St. Nicholas Hospital is seeking a Registered Nurse (RN) to join our Outpatient Cancer Center. Ideal candidates are patient focused, mission driven caregivers looking for an opportunity to apply clinical...
...monthly assessment and supervision of care to clients of Aroostook Home Health Services. Essential Functions: I. Conduct a general... ...Caribou, Maine Requirements: Graduate of an approved nursing program with a valid Maine State license in good standing....
..., and drive our success. We encourage you to apply for the positions for which you meet the qualifications.Job SummaryThe Staff Geoscientist should be a self-starter that is comfortable contributing in a fast-paced, multidisciplinary environment. They must have demonstrated...
...Remote Jobs cerca un consulente finance con esperienza su Dynamics BC/NAV per gestire progetti di implementazione e riorganizzazione dei processi AFC, con modalit di lavoro da remoto e trasferte nel nord Italia.La risorsa analizzer requisiti, progetter e implementer...
A Well established Public Adjustment firm is seeking those to review insurance policies for property damage covered under insurance policy. Inspect the property for damage covered by insurance policy, take photos of the damage and complete the insurance claim forms. The...