Oversee credentialing and enrollment for medical providers, ensuring compliance with NCQA, URAC, Joint Commission, CMS, and state regulations.
Manage relationships with commercial insurers, Medicare, and Medicaid, monitoring KPIs like 'Days to Enroll' to protect cash flow.
Lead a team of specialists, maintain CAQH profiles and licenses, and coordinate external audits.
Sleep Doctor is a sleep health company that helps people improve their sleep through expert-driven content and care across brands like SleepDoctor.com and SleepFoundation.org. The company values rapid growth, collaboration, and an inclusive culture, with a hybrid model in Seattle and remote options.
Act as the primary partner for government regulatory boards and state agencies, building trusted relationships with Executive Directors and state officials.
Develop success plans that align technology with agency mandates and public-sector risk management priorities.
Lead customized training programs to empower staff for audit readiness and governance excellence.
Propelus simplifies workforce compliance management across healthcare, empowering millions of professionals and regulators with innovative technology and strategic partnerships. As a trusted leader for over 20 years, they have focused on bringing more good into the lives of those serving healthcare, with a culture of flexibility and professional development.
Process timely and accurate billing of medical claims in multiple states.
Monitor accounts daily to maximize reimbursement and identify potential billing compliance issues.
Utilize EHR and billing systems to manage claims, denials, and payer communications.
Indigenous Pact PBC, Inc. is a certified B-Corporation established in 2017 with a mission to create health equity for American Indians and Alaskan Natives. The dedicated team has decades of experience working in Indian Country, specializing in customized solutions for sustainable revenue and improved health outcomes.