Job Description
Salary:
Position Summary:
This position is responsible for coordinating and implementing activities related to the credentialing and privileging of the Revere Health Medical Staff in accordance with facility requirements, health plan requirements and other relevant standards
including NCQA, CMS and URAC.
Essential Job Functions:Works closely with contracted health plans and healthcare facilities to credential providers and assist providers in obtaining and maintaining facility privileges and plan network participation. Assists providers in maintaining state licensure, DEA licensure, and renewing individual and group malpractice insurance. Responsible for the accuracy and integrity of the provider data. Responsible for the evaluation of credentialing and re-credentialing files. Accurately analyzes the provider data to assure that all applicable requirements have been satisfied. Identifies any additional information needed, performs all necessary follow-ups, and investigates any missing, incomplete, or unclear information in preparation for submission and review. Manages and coordinates the credentialing/re-credentialing process for Revere Health Providers, which includes primary source verification including but not limited to the National Practitioner Data Bank, state licensing departments, malpractice insurers, educational institutions, board certifications and OIG sanctions list. Works closely with team members in coordinating efforts and maintaining
a high level of performance in the department.
Qualifications:
Hours:M-F 8am - 5pm. In office position
...Type: Regular Scheduled Hours: 40 Job Summary: The Pharmacy Technician, under the direct supervision of a licensed... ...where Practicing Nationally Certified (PTCB or NHA) or active Intern license Specialized Knowledge: Typing / Computer Keyboarding...
Our client, a premier credit fund, is looking for a Trading Assistant to join their team. In this role, you'll be responsible for working directly with the Head of Credit Trading and handling the following:Work closely with capital allocators and senior management to determine...
...Hi, HCLTech is looking for a highly talented and self- motivated SAP SD to join it in advancing the technological world through innovation and creativity. Job Title : SAP SD Job ID: 2692041 Position Type: Full-time Location: Portland, Oregon Job...
July or August// Jinan, Shandong / kindergarten homeroom and ESL //Salary range and accommodation: 18-25 K; Salary included housing allowance.
...Competitive Compensation: Start at 150 bps with excellent growth potential as you expand your career. Remote Flexibility: Enjoy the freedom to work from home while serving clients across multiple states. Support & Resources: Receive full access to a comprehensive...