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Credentialing Remote Jobs

38 fresh jobs found

Perinatal Mental Health Specialist - TX
United States

Wellness goals Perinatal mental health Group care Individualized care plans LPC Healthcare practice LMHC Psychosocial assessment Trauma-Informed Care +23

Senior Full Time

USD 85K+

Credentialing Specialist
Working Virtually

MultiCare Health System

Healthcare Contracting Report generation Provider Relations Credentialing Independent Judgment Judgment Quality improvement Administrative Health care +7

USD 57K+

Contract Support Specialist
Working Virtually

MultiCare Health System

Spreadsheet creation Payer contracting Policy interpretation Credentialing Spreadsheets Project Coordination Health care Contract management Editing +10

USD 52K+

Psychiatric Mental Health Nurse Practitioner - California licensed (Remote)
Florida

Charting technology Mental health assessment Measurement based care Psychiatric Mental Health Evidence-Based Care Diagnosis Triage Credentialing Crisis Management +7

USD 160K+

Psychiatric Mental Health Nurse Practitioner - California licensed (Remote)
Texas

Charting technology Mental health assessment Measurement based care Psychiatric Mental Health Evidence-Based Care Diagnosis Triage Credentialing Crisis Management +7

USD 160K+

Psychiatric Mental Health Nurse Practitioner - California licensed (Remote)
Remote - United States

Charting technology Mental health assessment Measurement based care Psychiatric Mental Health Evidence-Based Care Diagnosis Triage Credentialing Crisis Management +7

USD 160K+

Psychiatric Mental Health Nurse Practitioner - California (Remote)
California

Charting technology Patient scheduling Mental health assessment Measurement based care Psychiatric Mental Health Evidence-Based Care Diagnosis Triage Credentialing +10

USD 160K+

Clinical Onboarding Specialist
Remote

Background checks Credentialing Healthcare services Onboarding Verbal communication Time Management Salesforce Microsoft Office Education +6

Entry Full Time

USD 46K+

Mental Health Therapist (NV License) - Full Time
Remote

Pediatric mental health Mental Health Counseling Clinical assessments Clinical Leadership Evidence-based practices Clinical assessment Diagnosis Credentialing Therapeutic Interventions +10

USD 82K+

Provider Relations Field Representative - Dallas/Fort Worth
Work From Home - TX

Claims submission Provider education Provider Credentialing Health Plan Operations Provider Relations Microsoft Applications Credentialing Issue Resolution Performance Improvement +23

USD 46K+

Credentialing Sr. Supervisor - Remote
Connecticut Work at Home

The Cigna Group

NCQA accreditation Health Services Credentialing Supervision Behavioral health Performance Management Metrics MS Office Verbal communication +13

Senior Mid Full Time

USD 58K+

Credentialing Audit Manager
Remote, USA, United States

ERA Verity CredentialStream EFT Ncqa standards Urac standards HIPAA rules and regulations Cloud-based technology HIPAA Rules Technology-driven +12

Senior Mid Full Time

USD 65K+

Director - Occupational Health Services - Evernorth - Remote
Arizona Work at Home

The Cigna Group

Infectious Disease Management Medical Surveillance DMAIC Occupational Health Clinical processes Health coaching RFP Communication Strategies Credentialing +51

Exec Senior Full Time

USD 116K+

Credentialing Assistant
Remote US

Production metrics ICD-10 codes NCQA ICD Accreditation CIS ICD-10 Credentialing Apex +34

Entry Mid Full Time

USD 37K+

Mental Health Therapist (HI License) - Full Time - Summers Off
Remote

Pediatric mental health Clinical assessments Mental Health Counseling Clinical Leadership Clinical assessment Evidence-based practices Diagnosis Credentialing Therapeutic Interventions +10

USD 76K+

Practice Coordinator, General Medicine
USA - MA - Remote

Billing Processes Referral management Project Support Health benefits Report generation Credentialing Licensing Healthcare experience Performance Improvement +22

USD 38K+

Medicare Advantage Provider Contracting Senior Advisor - TX, CO, UT, AZ & NV - Cigna Healthcare - Remote
Texas Work at Home

The Cigna Group

Service Accessibility Network adequacy Value-based contracting Medical Economics Provider Relations Medical management Network management Medicare Advantage Credentialing +27

Senior Full Time

USD 106K+

Director, Provider Management - Florida
Work From Home - FL

Provider management Analytics collaboration Healthcare Standards Provider Relations Medicare Advantage Network management Credentialing Network development Performance Improvement +27

Exec Senior Full Time

USD 110K+

Associate Director, Credentialing and Network Compliance
Remote

Accreditation Compliance Provider enrollment ACT Accreditation Precision Mental Healthcare Revenue Cycle Management Credentialing Mental healthcare Regulatory standards +27

USD 126K+

Provider Network Recruiter - Dental
Work From Home - AZ

Fee schedule analysis Provider contracts Dental recruitment Credentialing Marketing campaigns Microsoft Teams Leadership Development CRM Software Strategic Thinking +15

USD 55K+

Credentials Associate
Sentara Norfolk General Hospital

Echo database management Health Plan Social Perceptiveness Data gathering Credentialing Judgment Verification Database Management Data Entry +11

USD 30K+

Senior Regulatory Compliance Specialist
Remote CA - R1

Compliance Software Compliance training Independent Judgment Credentialing Discretion Facilitation Network Medicaid Medicare +24

Senior Full Time

USD 80K+

Internal Auditor II (Full-time Hybrid/Remote, North Carolina Based)
Morrisville, North Carolina, United States; Smithfield, North Carolina, United States

Alliance Health

Internal audit software Audit Methodology Credentialing Interviewing Internal Controls Report Writing Managed Care Auditing Medicaid +18

Entry Senior Full Time

USD 86K+

Senior Director, Compliance
Remote- United States

Privacy Management Healthcare Regulations Credentialing Audit HIPAA Risk Assessment Team Management Data analysis Compliance

Senior Full Time

USD 145K+

Credentialing Specialist
remote, USA, United States

Primary source verification HIPAA rules and regulations HIPAA Rules Cloud-based technology Technology-driven Report Preparation Credentialing CMS Managed Care +7

Entry Mid Full Time

USD 50K+

Supervisor, Credentialing
Remote, Remote

Radiology Partners

Audit Procedures Software Management Credentialing Client Relations Healthcare services Performance Management Team Leadership Process Improvement Compliance +1

USD 60K+

Medical Director--Claims Management
Remote US

Medicare Guidelines Inpatient Care Grievance and appeals processes Coding practices Outpatient services MCG Inpatient rehabilitation National Guidelines Post-acute care +73

Exec Senior Full Time

USD 199K+

Part Time Dental Consultant - Florida
Work From Home - FL

Dental claims Medical necessity determination Provider Appeals Chip Fraud waste abuse Adjudication Provider Relations Network management Clinical Review +22

USD 200K+

Credentialing Manager - Physician Services
Home Office: Mitchell, SD

Workflow planning Team training Policy Implementation Report generation Credentialing Patient Access Productivity HIPAA Compliance Quality +13

Senior Full Time

USD 75K+

Part Time National Dental Specialist, Florida
Work From Home - FL

Provider Appeals Dental claims Fraud waste abuse Chip Adjudication Provider Relations Clinical Review Medical necessity Medicare Advantage +20

USD 200K+

Dental Director - Florida
Work From Home - FL

Dental program management Provider Relations Network management Clinical Review Credentialing Fraud Investigation Microsoft Suite Utilization management Leadership Development +14

Exec Senior Full Time

USD 90K+

Senior Manager, Demand Generation
Remote (United States)

Multi-channel campaigns Pipeline growth Payer enrollment Licensing Platform Account Based Marketing Revenue Generation Growth Credentialing +18

Senior Full Time

USD 150K+

Offsite Administrator - Network Practices - Staten Island Multispecialty - Full Time - Day - OFFSITE
United States

Mount Sinai Health System

Infection control Operational Management Revenue Generation Credentialing Accounts Receivable Surgery Quality improvement Counseling Administration +16

Senior Full Time

USD 97K+

Senior Associate, Licensing & Credentialing
NY - Remote

Cityblock Health

Licensure Management Tracking Mechanisms NCQA Requirements Licensing Credentialing Healthcare Documentation Project Management Compliance +1

Senior Mid Full Time

USD 74K+

Manager, Licensing and Credentialing
NY - Remote

Cityblock Health

Credentialing Software Licensing Credentialing Regulatory standards Analytical thinking Database Management HR Relationship building Team Leadership +12

USD 98K+

Associate Director, Payer Enrollment
Remote (United States)

GSheets Payer enrollment Training Design Workflow Automation Growth Credentialing Platform KPI Management Performance analysis +13

Senior Mid Full Time

USD 115K+

Credentialing Assistant - Radiology
Remote - Missouri

Washington University in St. Louis

Provider enrollment Credentialing Office Equipment Insurance Verification Managed Care Confidentiality Data Management Insurance Education +4

Exec Mid Full Time

USD 61K+

Data Entry Associate
United States - Remote

Online Databases Credentialing Quality Control Data Entry Customer service Communication

Entry Mid Full Time

USD 32K+

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