Healthcare Credentialing Jobs in Basking Ridge

We are seeking an Assistant Credentialing Coordinator for a very important ... Physician Services, assists with the credentialing and re-credentialing of physicians for Company Vascular ... coordinating, monitoring, and maintaining..

Job ID 21000HYWAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

... 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,..

Posted: 01-Jun-23 Location: Summit/NJ/USA Salary: Open Categories: Advanced Practice Registered Nurses / Physician Assistants Required Education: High School Internal Number: 125093880 Overview Atlantic Health System is Seeking a Nurse Practitioner for ..

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 ..

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

Overview Atlantic Health System is seeking a Cardiovascular Ultrasound Tech for the vascular laboratory department at Overlook Medical Center to work varies shift including weekends as needed. Responsibilities Essential Functions/Responsibilities: OMC ..

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

... and malpractice We simplify the credentialing and privileging process We provide ... Assistant Therapy Medical Lab Pharmacy Healthcare Mgmt. Resources For Employers About ... Blog Why CompHealth Why CompHealth..

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 ..

Job Information Humana Manager, Credentialing in Jersey City New Jersey ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

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 ..

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 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 ..

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

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 ..

Job Code 88323 Jobs Rated 18th Job Description rJob Description r Evaluates and treats patients with disabilities, injuries, and/or diseases using physical, chemical and mechanical means in accordance with the written ..

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 ..

Job Code 84449 Job Description rJob Description r Operates x-ray, Magnetic Resonance Imaging (MRI) and auxiliary equipment, prepares patients for examination, processes images, maintains and cleans equipment. Maintains required documentation. r ..

Job Code 91257 Jobs Rated 122nd Job Description rJob Description r Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, ..

Overview Atlantic Health System is Seeking a Advanced Practice Clinician for a Great Opportunity in Northern New Jersey Atlantic Health System, one of New Jersey's largest non-profit healthcare networks, is seeking ..

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 ID 21000LGLAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..