Similar Jobs
See allPayer Enrollment-Network Coordinator
UnityPoint Health
US
Microsoft Office
Communication
Database Management
Provider Credentialing Specialist
Privia Health
US
Credentialing
Managed Care
Problem Solving
Provider Enrollment Coordinator
Integrated Dermatology
US
Credentialing
Microsoft Excel
Operations Associate, Credentialing and Payer Enrollment
Wheel
US
Data Analysis
Reporting
Spreadsheets
Credentialing Specialist (Contract)
Midi Health
US
NCQA
Licensing
Credentialing
Job Responsibilities:
- Ensure protocols are followed for timely payer enrollment resolution.
- Assure compliance with health plan requirements for provider certification and credentialing.
- Review and streamline processes, using automation where appropriate.
Qualifications:
- 7+ years’ experience in managed care credentialing or Medical Staff service setting.
- Experience leading Enrollment teams with large provider inventory.
- Strong knowledge of NCQA guidelines & delegated payers preferred.
Privia Health
Privia Health collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology.