Healthcare Credentialing Jobs in Middletown

... 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 ..

Job ID 21000A5SAvailable Openings 1Position Specific Information Ask about our Sign-On Bonus and Paid Training!PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis ..

Job ID 21000MLNAvailable Openings 1Position Specific Information We are a same day surgery center, hours Monday - Friday, no on-call or weekends. We perform vascular surgeries on patients who are receiving ..

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 ..

Child Adolescent Therapist - Full-time Assure Health LLC • Cincinnati OH 45244 Job #2510089916 Description: At Positive Leaps, our mission is shaping positive behavior and developing effective skills. We change the ..

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 ..

Child/Adolescent Clinical Therapist - Full-Time Assure Health LLC • West Chester OH 45069 Job #2510089987 Description: At Positive Leaps, our mission is shaping positive behavior and developing effective skills, We change ..

TeamHealth is seeking a team leader for the new heart transplant and heart failure program at The Christ Hospital in Cincinnati, Ohio. The ideal candidate will be board certified in anesthesia ..

Job ID 21000NBSAvailable 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. ..

Job Information Humana Strategy Advisor, Healthcare Strategy in Cincinnati Ohio Description ... Ohio 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 ..

Licensed Clinical Therapist Assure Health LLC • Fairfield OH 45014 Job #2510089923 Description: At Mindfully, our mission is to promote and provide comprehensive, convenient access to quality mental health care that ..

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 ..

CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL   YOU ARE INVITED TO SUBMIT AN APPLICATION TO BE INCLUDED IN THE GENERAL POOL OF CANDIDATES FROM WHICH QUALIFIED FACULTY ROLES ..

Miami Valley Hospital, nationally recognized Level-IIIB NICU, is seeking a BC/BE Neonatologist to join the team! We are seeking full-time BC/BE neonatologists to join our team at Miami Valley Hospital, the ..

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

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

... 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..

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 ..

Mental Health Clinician Assure Health LLC • Cincinnati OH 45255 Job #2510089913 Description: At Mindfully, our mission is to promote and provide comprehensive, convenient access to quality mental health care that ..

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 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 ..