Healthcare Credentialing Jobs in Gastonia

... 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,..

Job Title: Credentialing Coordinator Pay: $20-22 per hour ... 5:30 pm Position Scope: Perform credentialing services providers. Prepare applications and ... all necessary follow up. Updating credentialing information (physicians, extenders..

Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from your home office, reporting to the ..

WalgreensnJob DescriptionOur pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll ..

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 ..

Instructor Psychology - Req 6375 Instructor Psychology - Req 6375 Employer Central Piedmont Community College 1201 Elizabeth Avenue Charlotte, NC 28235 Phone: 704-330-2722 Job Location Central Campus Salary/Grade MA - $50,441 ..

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

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 ..

Daycare Assistant Director | Charlotte The Sunshine House Early Learning Academy is seeking an Assistant Director for its preschool program in Charlotte. About The Sunshine House: Bright futures start here! The ..

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 ..

Preschool Director | Pineville & South Charlotte Area The Sunshine House is seeking a Childcare Director for our award-winning NC 5-Star school in South Charlotte / Pineville area. No nights or ..

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 Strategy Advisor, Healthcare Strategy in Charlotte North Carolina ... Carolina Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

... 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 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 ..

Pediatric Hospitalist US-SC-Fort Mill Job ID: 2022-36142 Type: Physician - Pediatrician/Pediatric Hospitalist # of Openings: 1 Category: Physician SCPDFM Overview Great opportunity to join a dynamic group in desirable, Charlotte/Ft. Mill ..

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 ..

Childcare Director in Training | Charlotte Area The Sunshine House Early Learning Academy is seeking a Director in Training for our schools in the Charlotte area. Are you looking for a ..

Nursing Faculty 9-Month Nursing Faculty 9-Month Employer Cleveland Community College 137 South Post Road Shelby, NC 28152 Phone: 704-669-6000 Job Location Shelby, NC Salary/Grade Based on experience. Salary range $43,442-$62,370. Benefits ..

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

Job Description ***Full Time Float - Lincolnton, NC Area*** As the largest retail health care provider in the nation, and an industry leading Fortune 4 Company, MinuteClinic offers the unique opportunity ..

PURPOSE 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. Ensure provision of quality patient ..