Healthcare Credentialing Jobs in Framingham

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..

... Inpatient PsychiatristnLocation: Attleboro, MAn nMPLT Healthcare is looking for a physician ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT..

... administrative duties required in the credentialing verification process. Reviews, enters and ... complex database and coordinates the credentialing process for the Medical Staff ... the respective entities. Ensures the..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

Job Information Humana Strategy Advisor, Healthcare Strategy in Boston Massachusetts Description ... Massachusetts Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

Peer Parent Consultant CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care Position Overview: As a Parent Peer Consultant, you will play a pivotal role in providing guidance, empathy, and ..

Peer Recovery Specialists IHH (Full Time) Location: Woonsocket, RI P OSITION SUMMARY: To provide a bridge between providers and adults with serious mental illness. Peer Specialists will assist in facilitating the ..

... and Massachusetts General Hospital, Partners HealthCare supports a complete continuum of ... overall administration of the hospital(s) credentialing requirements for a cadre of ... this information in the enterprise-wide..

Psych Rehab Specialist ACT (Full Time) Location: Woonsocket, RI POSITION SUMMARY: The PSRS's role within the multidisciplinary team is to provide psychosocial rehabilitation services to psychiatrically disabled adults and their families, ..

Clinician Child, Youth and Family Co-Occurring CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: Provides individual, group, and family behavioral health services, both mental health and substance ..

Job Information Humana Supervisor, Credentialing in Boston Massachusetts Description Responsibilities ... Massachusetts Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising ... years of experience in provider credentialing and/or..

We are a new organization that is disrupting the well-worn path that results in unnecessary emergency room visits for urgent and acute care. Join a small team of clinical and business ..

ACT Psych Rehab Specialist (Full Time) Location: Woonsocket, RI POSITION SUMMARY: The PSRS's role within the multidisciplinary team is to provide psychosocial rehabilitation services to psychiatrically disabled adults and their families, ..

Job Description The Credentialing Coordinator is responsible for initial ... Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and ... Commission accreditation, NCQA and URAC credentialing..

Team Leader CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: · Provide clinical leadership for a multi-disciplinary/agency team that works with high-risk children, adolescents and transition aged ..

RN Complex Care (Full Time) Location: Woonsocket, RI POSITION SUMMARY: Coordinate and facilitate access to medical care for IHH clients experiencing complex acute and chronic illnesses. Eligible clients continue to need ..

Psych Rehab Worker CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: · Provide support to children and youth who are at risk of hospitalization to develop the ..

Job Information Humana Manager, Credentialing in Boston Massachusetts Description Responsibilities ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

Credentialing Specialist / HR Assistant (Full ... SUMMARY: Coordinate, administer and maintain credentialing process for all eligible staff. ... at least 3 years of credentialing and office experience in a..

Intensive Care Coordinator CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: · Provide case management, care coordination and treatment to children and youth who are at risk ..

Clinician Co-Occurring CBIC (Full Time) Location: Woonsocket, RI Community Based Intensive Care POSITION SUMMARY: • Provides individual, group, and family behavioral health services, both mental health and substance use, for children ..

HR Assistant/Credentialing Specialist (Full Time) Location: Woonsocket, ... SUMMARY: Coordinate, administer and maintain credentialing process for all eligible staff. ... at least 3 years of credentialing and office experience in..

Crisis Clinician/ Intake Specialist (Full Time) Location: Woonsocket, RI Position Summary: Exciting opportunity to become a member of our dynamic behavioral health emergency services team. As a member of this team, ..