Healthcare Credentialing Jobs in San Antonio

Description The Credentialing Professional 2 obtains and reviews ... in a health plan. The Credentialing Professional 2 work assignments are ... courses of action. Responsibilities The Credentialing Professional 2 reviews..

... all activities associated with delegated credentialing and recredentialing of providers in ... policy and procedures. Monitors delegated credentialing activities in accordance with the ... Network Accreditation standards related to..

Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

n n nn n POSITION SUMMARY: The Registered Nurse (RN) Runner is an experienced registered professional nurse who is designated to provide coordination of care, ensure continuous assessment of each patient's ..

... a leader inmedical technology and healthcare solutions.** **Rooted inour long history ... Cath Labs and achieve vendor credentialing Must have a valid drivers ... MEDTRONIC** Together, we can change..

Job Code 2172024 For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of ..

n nn n POSITION SUMMARY: The Patient Care Services Director fills an executive position with overall clinical and management responsibility; serves as liaison to and conduit between the Executive Director, clinical ..

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 San Antonio Texas ... Texas Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Hiring Hybrid Credentialing Coordinator We are currently hiring for a Hybrid Credentialing Coordinator in the Scottsdale area. Requirements: Medicare, Medicaid OHIO - AZ - WISCO 2-3 min years Provider enrollment experience ..

Description Summary: This Position is responsible for administration and documentation of safe and competent respiratory care as ordered per physician to patient with respiratory disorders. CHRISTUS Santa Rosa Hospital - Westover ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Hiring Hybrid Credentialing Coordinator We are currently hiring ... currently hiring for a Hybrid Credentialing Coordinator in the Phoenix and ... different systems; you will be credentialing physicians, and mid-level..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

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

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

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..