Ensure pharmacy maintains compliant licenses at federal, state, and local levels.
Manage preparation, submission, and renewal of pharmacy licenses.
Stay abreast of pharmacy regulations, laws, and policies to ensure compliance.
Strive Pharmacy offers personalized pharmaceutical solutions through compounding, addressing limitations of the one-size-fits-all approach. They're dedicated to providing better experiences for customers and clinics, striving to disrupt healthcare with a focus on personalized care and a proactive approach to health.
Assist in monitoring compliance of medication prescribed by the physician or psychiatric provider.
Facilitate partnerships between patients, personal providers, and family when appropriate.
Provide psychoeducation, coping skills, and therapeutic worksheets through a structured care plan.
Optima Medical is an Arizona-based medical group with over 130 medical providers, caring for more than 200,000 patients statewide. They focus on personalized healthcare, aiming to help communities "Live Better, Live Longer" by preventing leading causes of death.
Own end-to-end provider credentialing and enrollment across Medicaid, Medicare, Medicare Advantage.
Ensure credentialing policies and documentation meet payer and regulatory requirements.
Build and continuously improve credentialing infrastructure, including SOPs and policies/procedures.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. They partner with health plans, providers, and community organizations to deliver culturally competent care; they are scaling rapidly across states and populations.
Enroll and revalidate doctors and facilities with payors.
Process applications for licensing, permits, certifications, insurances, and relevant credentialing documents.
Review incoming insurance correspondence and mail and maintain and update credentialing spreadsheets accordingly.
CHOICE is the largest provider of pediatric dental care in the Southwest United States. They pride themselves on delivering high quality care to children in their communities.
Follows documented process to ensure timely processing of Primary Source Verification completion for initial and recredentialing.
Follows guidelines in alignment with all NCQA, CMS, and state requirements as related to the provider credentialing.
Works with both internal and external stakeholders to resolve complex provider credentialing issues.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
Expressable is a virtual speech therapy practice with a mission to transform care delivery and expand access to high-quality services. They are passionate advocates of parent-focused intervention, serving thousands of clients since their inception in late 2019.
Work remotely to enhance member management and maximize cost effectiveness.
Collaborate with clients and members to promote wellness and assist in achieving health goals.
Collect data, conduct clinical reviews, and ensure documentation complies with regulations.
Guidehealth is a data-powered healthcare company dedicated to operational excellence. They aim to make healthcare affordable and improve patient health, employing remotely-embedded Healthguides™ and a Managed Service Organization to build stronger connections with patients and providers.
Manage licensure, certification, and credentialing for all applicable staff.
Track expiration dates and renewal requirements for licenses, certifications, DEA registrations, NPI numbers, and professional credentials.
Ensure compliance with state boards, CMS, accrediting organizations, and payer requirements.
Brighton/Suncrest Hospice aims to redefine hospice care by delivering outstanding service to patients. They achieve this by allocating resources to improve staff-to-patient ratios, increasing clinical visits, and lowering clinician caseloads. They are CHAP certified.
Promptly and accurately record all provider information.
Monitor status of payer applications to ensure completion.
Initiate and follow through on all aspects of provider credentialing.
UnityPoint Health is committed to team members and is recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare. They champion a culture of belonging where everyone feels valued and respected, and provide employees with support and development opportunities.
Manage onboarding communications and proactively guide new hires.
Track attendance, training completion, and follow up on missing steps.
Maintain onboarding trackers and support administrative tasks.
Midi Health is dedicated to providing comprehensive healthcare solutions. While the exact employee count isn't specified, it's evident they foster an inclusive and growth-oriented culture.
Following specific workflows to ensure efficient and accurate timesheet approvals.
Communicating with key stakeholders on reporting, trends, patterns, and issues.
Navigating workforce issues using critical thinking and clear communication.
Since 2007, ModSquad has been reinventing the Customer Experience Services industry. They partner with top brands globally, offering services like customer support, content moderation, and social media management, supporting over 50 languages in 90+ countries. The company primarily operates remotely, providing opportunities to work with great people on cool projects for amazing brands, fostering a collaborative and inclusive environment.
Evaluates certification requests by reviewing group specific requirements.
Triage the call to determine if a Utilization Review Nurse is needed.
Cottingham & Butler sells a promise to help clients through life’s toughest moments by hiring, training, and growing the best professionals. The company culture is guided by the theme of “better every day” constantly pushing themselves to be better than yesterday.
Engage with members to support their chronic and/or complex health care needs.
Create and manage individualized care plans to meet healthcare goals.
Partner with members, families, providers, and resources to coordinate care.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. They prioritize members' well-being and are committed to service, sustainability, and innovation.
Supervise, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordination activities.
Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met.
Interview, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team.
Humana Inc. is committed to putting health first for its teammates, customers, and company. Through Humana insurance services and CenterWell healthcare services, they aim to make it easier for the millions of people they serve to achieve their best health.
Utilize systems to create work orders for field operations based off of orders provided from channel partners.
Efficiently dispatch work orders to field personnel using systems, accounting for field staffing and time needed to complete orders.
Serve as the primary communication vessel between our customers, and our Velocare field personnel via phone, instant messenger, email, and platform messaging.
Cardinal Health is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With more than 50 years of experience, Cardinal Health employs a diverse group of individuals.
Performs high-level placement coordination for sites with standard onboarding requirements.
Partners with a Specialist I to ensure learner compliance and site readiness.
Manages operational tasks, focusing on sites that do not require specialized portals or paper applications.
Nightingale Education Group focuses on higher learning in healthcare professions, elevating education, health, and employment systems. It contributes to learners' academic achievement, personal growth, and professional development, serving diverse communities and transforming rural health landscapes through its blended-distance learning platform.
Own the day-to-day tracking and progress of clinician credentialing and payer enrollment workflows.
Identify and resolve blockers across credentialing, enrollment, and re-credentialing processes.
Support clinicians directly by guiding them through credentialing and enrollment requirements.
Wheel is evolving the traditional care ecosystem by equipping companies with a premier platform to deliver virtual care at scale. They offer strategies and technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Lead one of Rula’s most critical operational functions.
Own end-to-end credentialing and enrollment outcomes.
Partner across the company to ensure providers are credentialed and enrolled accurately, compliantly, and efficiently.
Rula is dedicated to treating the whole person, not just the symptoms and aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. Rula is a remote-first company that values diversity, equity, and inclusion.
Manage the insurance claims process and provide customer service to clients.
Analyze and approve claims and determine coverage based on medical necessity.
Resolve discrepancies, secure proper reimbursement, and follow regulations and guidelines.
CommuniCare Family of Companies delivers person-centered care as a national leader in post-acute care. They operate over 150 facilities, employing more than 19,000 employees across six states, and are dedicated to improving the lives of seniors.