SanFranRecruiter Since 2001
the smart solution for San Francisco jobs

Credentialing Specialist

Company: Centene Coproration
Location: San Rafael
Posted on: November 15, 2019

Job Description:

Description: Position Purpose: The Credentialing Specialist is responsible for credentialing individual, facility and/or ancillary medical/surgical providers to ensure all credentialing standards and internal requirements are met and maintained. Verifies and maintains all network, individual and/or facility/ancillary providers' information. Monitors disciplinary actions, and follows up accordingly. Corresponds with licensing board, hospitals, certification agencies, training programs and medical groups to resolve any issues. Ensures and maintains overall accuracy of credentialing database. Gathers data, builds/runs reports, and sends out updates. Corresponds with licensing board, hospitals, certification agencies, training programs and medical groups, practitioners, office staff, provider network administrators, contracting and management to resolve issues. May review and identify credentialing or re-credentialing practitioners, including verifications of correspondence, data entry, etc., in accordance with company policies and procedures. Reviews and analyzes reports, policies and procedures, summarizes, analyzes and makes notations in reports for feedback to groups and for distribution to management and Credentialing Committee. Assists in the preparation of file reports and binders for monthly Credentialing Committee meetings, including pre-and post-Committee functions. Assists on internal projects to obtain follow-up information as requested by Credentialing Committee or Peer Review Teams. Performs other duties as assigned.

Keywords: Centene Coproration, San Francisco , Credentialing Specialist, Other , San Rafael, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


DC - Part-Time Data Collector (CA - Gilroy)
Description: DC - Part-Time Data Collector CA - Gilroy Description: Part-Time Data Collector Do you enjoy shopping at large retail stores Do you appreciate competitive prices and watch for sales on your favorite (more...)
Company: RetailData, LLC
Location: Gilroy
Posted on: 12/14/2019

Senior Provider Relations Representative
Description: Description: Position Purpose: Under direction, the Senior Provider Relations Representative maintains working relationships with provider organizations as assigned. This position is responsible for assuring (more...)
Company: Centene Coproration
Location: San Rafael
Posted on: 12/14/2019

Assembler Tech II
Description: Job Summary Participates as a team member in the product development process from concept through market introduction and in ongoing manufacturing on a contract basis for client companies. Essential Job (more...)
Company: Nordson Corporation
Location: Sunnyvale
Posted on: 12/14/2019


Teacher
Description: Part time teacher position. 9AM to 12PM. Applicant must have completed Montessori training, preferably AMI. We are a Christian Montessori
Company: Triumphant Learning Center Montessori
Location: Sunnyvale
Posted on: 12/14/2019

Work From Home Jobs - Drive with Lyft - Make Make $2350 in your First
Description: What is Lyft Lyft matches drivers with passengers who request rides through the Lyft smartphone app. Signing up to be a Lyft driver is the perfect opportunity for you to set your own schedule and be (more...)
Company: Lyft
Location: San Rafael
Posted on: 12/14/2019

Home Care Aide
Description: HomeWell is Hiring Caregivers/ Home Care Aides We have immediate openings for long shifts 8, 12, and 24 hours AND shorter shifts 2, 3, and 4 hours for Caregivers/Home Care Aides in Marin and Sonoma (more...)
Company: HomeWell of North Bay
Location: San Rafael
Posted on: 12/14/2019

Diesel Mechanic/Technician
Description: Job Description:As a Diesel Mechanic/Technician : You will maintain proficiency in the diagnosis and repair of all assigned equipment. Determine vehicle condition by conducting inspections
Company: transervice
Location: Gilroy
Posted on: 12/14/2019

Work from Home - Benefit Consultant (Will Train)
Description: Nation's Premier Health Programs Company is looking for leaders. This is a home based position. Our company
Company: JMS Benefits
Location: Tracy
Posted on: 12/14/2019

Maintenance Mechanic
Description: Maintenance Mechanic FULL-TIME Possess specific fundamental knowledge of bearings, power transmission equipment, hydraulics/pneumatics, lubrication, fluid pumping systems, heat transfer, welding (more...)
Company: Commercial Metals Company
Location: Tracy
Posted on: 12/14/2019

CDL-A or B Local Truck Driver - Dedicated Home Daily
Description: Call 888-435-1712 br br CDL-A or B Local Truck Driver - Dedicated Home Daily Your Miles Take You Further On Local Runs With Hub Group At Hub Group, we believe in employing
Company: Hub Group Trucking
Location: San Rafael
Posted on: 12/14/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

San Francisco RSS job feeds