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
PRINCIPAL DUTIES AND RESPONSIBILITIES: Manage plant maintenance personnel. Ensure machinery and support systems operating at maximum efficiency. Oversee preventive maintenance (PM) program and schedule. Oversee the Red Tag program to monitor adherence to food safety ...
...Short descriptionTeach students everything about the course Child PsychologyGeneral introAs a freelance teacher at Coursle - Centre For Distance Learning, youll be responsible for putting the teaching materials together and crafting the curriculum for the Child Psychology...
...Job Description Job Description This dynamic, expanding CPA firm is looking for a qualified professional to manage the tax and financial needs of its diverse clientele. The ideal candidate demonstrates technical tax knowledge combined with strong client service skills...
...Sagility is seeking a Credentialing Advocate who will support the credentialing and recredentialing of healthcare providers, ensuring documentation accuracy and compliance. This position involves conducting primary source verification of provider credentials and maintaining...
...activities as scheduled. Design, program, and execute a wide variety of performance types using the Vilars's repertory plot. Operate lighting consoles during rehearsals, performances and other live events. Adapt lighting designs to fit tour specifications, production...